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NPI 1992625412

NPI 1992625412 : RHEUMATOLOGY & OSTEOPOROSIS CENTER OF WYOMING LLC : GILLETTE, WY

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General NPI Number Information
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    NPI Number           |    1992625412
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    Entity Type          |    Organization 
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    Legal Business Name  |    RHEUMATOLOGY & OSTEOPOROSIS CENTER OF WYOMING LLC 
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Dates
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    Enumeration Date     |    07/16/2026
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    Last Update Date     |    07/16/2026
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Provider Practice Location Address
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    Address Line         |    201 W LAKEWAY RD STE 200 
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    City                 |    GILLETTE
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    State                |    WY
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    Zip                  |    82718-6341
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    Country              |    US
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    Telephone            |    --
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    29 KETTLESON XING 
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    City                 |    GILLETTE
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    State                |    WY
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    Zip                  |    82718-6453
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HORNG-CHYI RICHARD LAI 
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    Credential           |    MD, MBA
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    Telephone            |    410-948-7811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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