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NPI 1730141292

NPI 1730141292 : JOANN KAPLAN M.D. : RIVERTON, WY

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General NPI Number Information
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    NPI Number           |    1730141292
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    Entity Type          |    Individual 
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    Provider Name        |    JOANN KAPLAN M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/03/2006
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    Last Update Date     |    07/14/2022
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Provider Practice Location Address
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    Address Line         |    WIND RIVER FAMILY AND COMMUNITY HEALTH CARE 14 GREAT PLAINS RD
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    City                 |    RIVERTON
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    State                |    WY
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    Zip                  |    82501
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    Country              |    US
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    Telephone            |    307-856-9281
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    125 INDIAN LOOKOUT DR 
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    City                 |    LANDER
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    State                |    WY
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    Zip                  |    82520-3057
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    Country              |    US
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    Telephone            |    207-350-6526
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    014977
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    License Number State |    ME
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