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General NPI Number Information
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NPI Number | 1891333126
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Entity Type | Organization
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Legal Business Name | HARKINS THERAPY SERVICES LLC
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1300 E A ST STE 201
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City | CASPER
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State | WY
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Zip | 82601-2252
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Country | US
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Telephone | 307-235-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 3580 VALLEY RD
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City | CASPER
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State | WY
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Zip | 82604-4906
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Country | US
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Telephone | 307-267-1792
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANE HARKINS
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Credential | LCSW
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Telephone | 307-235-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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