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General NPI Number Information
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NPI Number | 1841313723
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Entity Type | Organization
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Legal Business Name | REPRODUCTIVE HEALTHCARE OF THE BIG HORNS
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 128 S. THURMOND ST
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City | SHERIDAN
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State | WY
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Zip | 82801
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Country | US
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Telephone | 307-672-7054
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Fax | 307-672-7392
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Provider Business Mailing Address
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Address Line | 128 S. THURMOND ST
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City | SHERIDAN
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State | WY
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Zip | 82801
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Country | US
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Telephone | 307-672-7054
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Fax | 307-672-7392
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Authorized Official
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Title or Position | CLINICAL COORDINATOR
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Name | MRS. AMANDA BLISH ALEXANDER
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Credential | RN
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Telephone | 307-672-7054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 261QA0005X
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License Number State | WY
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