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General NPI Number Information
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NPI Number | 1689861544
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Entity Type | Organization
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Legal Business Name | TOWN OF CHUGWATER
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 248 2ND STREET
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City | CHUGWATER
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State | WY
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Zip | 82210
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Country | US
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Telephone | 307-422-3493
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Fax |
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Provider Business Mailing Address
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Address Line | 248 2ND STREET
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City | CHUGWATER
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State | WY
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Zip | 82210
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Country | US
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Telephone | 307-422-3493
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Fax |
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Authorized Official
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Title or Position | BILLING OFFICER
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Name | WADE WELLS
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Credential |
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Telephone | 307-322-5424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 18
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License Number State | WY
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