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General NPI Number Information
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NPI Number | 1780942573
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Entity Type | Individual
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Provider Name | STEPHANY SEDMAK
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 419 S WASHINGTON ST STE 200
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City | CASPER
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State | WY
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Zip | 82601-2951
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Country | US
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Telephone | 307-253-0415
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Fax |
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Provider Business Mailing Address
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Address Line | 616 N MYSTERY BRIDGE RD
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City | EVANSVILLE
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State | WY
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Zip | 82636-9776
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Country | US
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Telephone | 307-253-0415
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 55729
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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