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General NPI Number Information
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NPI Number | 1922152826
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Entity Type | Organization
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Legal Business Name | WESTERN WYOMING FAMILY PLANNING
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 809 THOMPSON ST
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-7272
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Country | US
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Telephone | 307-362-6813
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Fax | 307-362-6791
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Provider Business Mailing Address
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Address Line | 333 BROADWAY ST STE 120
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-6254
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Country | US
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Telephone | 307-362-6813
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Fax | 307-362-6791
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ALEXA MARIE ROBERSON
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Credential |
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Telephone | 307-922-5365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | MN0455762
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License Number State | WY
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