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General NPI Number Information
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NPI Number | 1023224896
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Entity Type | Individual
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Provider Name | PAMELA W WEBSTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 250 CUSHMAN ST SUITE 4F
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City | FAIRBANKS
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State | AK
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Zip | 99701-4640
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Country | US
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Telephone | 907-479-7242
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Fax | 907-479-6088
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Provider Business Mailing Address
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Address Line | PO BOX 71642
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City | FAIRBANKS
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State | AK
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Zip | 99707-1642
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Country | US
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Telephone | 907-479-7242
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Fax | 907-479-6088
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCS 103
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License Number State | AK
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