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NPI 1740114875

NPI 1740114875 : CONNOR NOTMAN PARAMEDIC,FP-C : LOVELL, WY

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General NPI Number Information
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    NPI Number           |    1740114875
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    Entity Type          |    Individual 
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    Provider Name        |    CONNOR NOTMAN PARAMEDIC,FP-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2026
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    Last Update Date     |    06/12/2026
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Provider Practice Location Address
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    Address Line         |    1115 LANE 12 
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    City                 |    LOVELL
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    State                |    WY
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    Zip                  |    82431-9537
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    Country              |    US
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    Telephone            |    307-548-5200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    722 S 15TH ST 
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    City                 |    WORLAND
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    State                |    WY
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    Zip                  |    82401-4107
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    Country              |    US
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    Telephone            |    
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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        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    108909
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    License Number State |    WY
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