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General NPI Number Information
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NPI Number | 1871731406
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Entity Type | Organization
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Legal Business Name | WASHAKIE FAMILY PLANNING
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 1007 ROBERTSON AVE
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City | WORLAND
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State | WY
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Zip | 82401-2720
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Country | US
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Telephone | 307-347-3278
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Fax | 307-347-3270
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Provider Business Mailing Address
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Address Line | 1007 ROBERTSON AVE
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City | WORLAND
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State | WY
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Zip | 82401-2720
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Country | US
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Telephone | 307-347-3278
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Fax | 307-347-3270
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Authorized Official
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Title or Position | NURSING MANAGER
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Name | MRS. AMANDA M. HEINEMEYER
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Credential | RN
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Telephone | 307-347-3278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State | WY
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