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General NPI Number Information
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NPI Number | 1679270995
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Entity Type | Organization
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Legal Business Name | CIRCLE OF HOPE HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 918 E 2ND ST
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City | CASPER
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State | WY
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Zip | 82601-2625
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Country | US
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Telephone | 307-224-7852
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Fax |
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Provider Business Mailing Address
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Address Line | 918 E 2ND ST
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City | CASPER
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State | WY
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Zip | 82601-2625
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Country | US
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Telephone | 307-224-7851
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & FOUNDER
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Name | JULIE A BURKHART
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Credential |
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Telephone | 415-786-4974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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