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General NPI Number Information
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NPI Number | 1790201192
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Entity Type | Organization
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Legal Business Name | BEYOND HOME INC.
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 153 DOYLE CHILD CIRCLE
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City | AFTON
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State | WY
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Zip | 83110
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Country | US
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Telephone | 307-885-2263
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Fax | 307-699-2264
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Provider Business Mailing Address
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Address Line | PO BOX 1085
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City | AFTON
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State | WY
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Zip | 83110-1085
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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 | RN/ADMINSTRATOR/VICE PRESIDENT
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Name | CINDY CAZIER
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Credential | RN
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Telephone | 307-699-7181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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