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General NPI Number Information
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NPI Number | 1831966266
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Entity Type | Organization
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Legal Business Name | COMMUNITY STRONG LLC
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 1100 PINE AVE STE 3B
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City | KEMMERER
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State | WY
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Zip | 83101-3237
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Country | US
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Telephone | 405-229-7898
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 HILLTOP DR STE 204
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5859
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Country | US
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Telephone | 405-229-7898
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Fax | 877-552-0705
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Authorized Official
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Title or Position | CAO
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Name | WHITNEY D WALSH
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Credential |
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Telephone | 405-229-7898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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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 | 364SC2300X
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Taxonomy Name | Chronic Care Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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