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General NPI Number Information
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NPI Number | 1720746324
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Entity Type | Organization
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Legal Business Name | DR. RANDY FOLKER ENT AND ALLERGY, PC
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 202 LICHEN DR
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City | CODY
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State | WY
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Zip | 82414-5027
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Country | US
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Telephone | 307-578-7173
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Fax |
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Provider Business Mailing Address
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Address Line | 202 LICHEN DR
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City | CODY
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State | WY
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Zip | 82414-5027
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Country | US
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Telephone | 307-578-7173
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RANDY FOLKER
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Credential | MD
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Telephone | 307-578-7173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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