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General NPI Number Information
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NPI Number | 1770636276
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Entity Type | Organization
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Legal Business Name | COUNTY OF NIOBRARA
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 701 S MAIN ST
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City | LUSK
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State | WY
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Zip | 82225-5094
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Country | US
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Telephone | 307-334-4032
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 998
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City | LUSK
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State | WY
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Zip | 82225-0998
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Country | US
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Telephone | 307-334-4032
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Fax |
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Authorized Official
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Title or Position | COUNTY NURSE MANAGER
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Name | MELANIE PEARCE
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Credential | RN
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Telephone | 307-286-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | WY
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