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NPI 1962494864

NPI 1962494864 : CASPER ORTHOPAEDIC ASSOCIATES PC : CASPER, WY

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General NPI Number Information
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    NPI Number           |    1962494864
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    Entity Type          |    Organization 
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    Legal Business Name  |    CASPER ORTHOPAEDIC ASSOCIATES PC 
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Dates
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    Enumeration Date     |    08/17/2005
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    Last Update Date     |    02/15/2024
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Provider Practice Location Address
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    Address Line         |    4140 CENTENNIAL HILLS BLVD STE A
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    City                 |    CASPER
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    State                |    WY
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    Zip                  |    82609-3265
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    Country              |    US
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    Telephone            |    307-265-7205
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    Fax                  |    307-235-6262
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Provider Business Mailing Address
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    Address Line         |    4140 CENTENNIAL HILLS BLVD STE A
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    City                 |    CASPER
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    State                |    WY
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    Zip                  |    82609-3265
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    Country              |    US
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    Telephone            |    307-265-7205
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    Fax                  |    307-235-6262
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ERIC  LINFORD 
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    Credential           |    MD
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    Telephone            |    307-265-7205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery 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        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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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        |    2081S0010X
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    Taxonomy Name        |    Sports Medicine (Physical Medicine & Rehabilitation) Physician
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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