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General NPI Number Information
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NPI Number | 1770423626
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Entity Type | Organization
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Legal Business Name | CENTRAL WYOMING HOSPICE PROGRAM
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 319 S WILSON ST
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City | CASPER
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State | WY
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Zip | 82601-2943
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Country | US
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Telephone | 307-577-4832
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Fax | 307-577-4841
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Provider Business Mailing Address
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Address Line | 319 S WILSON ST
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City | CASPER
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State | WY
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Zip | 82601-2943
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Country | US
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Telephone | 307-577-4832
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Fax | 307-577-4841
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KILTY BROWN
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Credential |
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Telephone | 307-577-4832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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