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NPI 1790082956

NPI 1790082956 : ROCK SPRINGS PLASTIC SURGERY CENTER : ROCK SPRINGS, WY

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General NPI Number Information
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    NPI Number           |    1790082956
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROCK SPRINGS PLASTIC SURGERY CENTER 
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Dates
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    Enumeration Date     |    02/23/2011
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    1180 COLLEGE DR STE 3-3 
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    City                 |    ROCK SPRINGS
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    State                |    WY
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    Zip                  |    82901-5863
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    Country              |    US
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    Telephone            |    307-362-8211
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    Fax                  |    307-382-3451
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Provider Business Mailing Address
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    Address Line         |    1180 COLLEGE DR STE 3-3 
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    City                 |    ROCK SPRINGS
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    State                |    WY
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    Zip                  |    82901-5863
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    Country              |    US
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    Telephone            |    307-362-8211
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    Fax                  |    307-382-3451
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     BILLIE  CURTIS 
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    Credential           |    
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    Telephone            |    307-362-8211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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