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General NPI Number Information
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NPI Number | 1811793284
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Entity Type | Organization
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Legal Business Name | CHERE B NP
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 327 S MAIN ST STE 127
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City | BURNS
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State | WY
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Zip | 82053-9135
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Country | US
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Telephone | 307-287-7543
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Fax |
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Provider Business Mailing Address
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Address Line | 3737 PATRICK RD
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City | CHEYENNE
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State | WY
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Zip | 82007-1238
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Country | US
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Telephone | 307-287-7543
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERE ANGELENE BOHR
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Credential | APRN
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Telephone | 307-287-7543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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