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General NPI Number Information
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NPI Number | 1821472903
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Entity Type | Organization
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Legal Business Name | COWBOY CARES, INC.
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 70 MEADOW STREET
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City | LYMAN
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State | WY
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Zip | 82937
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Country | US
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Telephone | 307-786-4357
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Fax | 307-459-1020
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Provider Business Mailing Address
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Address Line | PO BOX 1449
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City | LYMAN
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State | WY
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Zip | 82937
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Country | US
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Telephone | 307-786-4357
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Fax | 307-459-1020
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Authorized Official
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Title or Position | BOARD OF DIRECTORS/BILLING
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Name | BONNIE BRITTON
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Credential |
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Telephone | 307-786-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 15233
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 15233
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License Number State | WY
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