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General NPI Number Information
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NPI Number | 1700524766
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Entity Type | Organization
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Legal Business Name | CITY OF CHEYENNE
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 716 W 19TH ST
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City | CHEYENNE
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State | WY
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Zip | 82001-4309
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Country | US
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Telephone | 307-630-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 415 W 18TH ST
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City | CHEYENNE
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State | WY
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Zip | 82001-4331
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Country | US
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Telephone | 307-637-6311
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Fax | 307-637-6387
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Authorized Official
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Title or Position | DEPARTMENT CHIEF
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Name | MR. JOHN KOPPER
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Credential | CHIEF
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Telephone | 307-637-6315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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