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General NPI Number Information
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NPI Number | 1053487025
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Entity Type | Organization
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Legal Business Name | CITY & BOROUGH OF JUNEAU ALASKA
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 610 S BAILEY ST
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City | PALMER
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State | AK
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Zip | 99645-6330
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Country | US
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Telephone | 907-745-0268
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Fax | 907-745-0200
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Provider Business Mailing Address
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Address Line | 155 S SEWARD ST
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City | JUNEAU
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State | AK
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Zip | 99801-1332
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Country | US
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Telephone | 907-586-0375
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Fax | 907-586-5367
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Authorized Official
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Title or Position | TREASURER
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Name | BARBARA ROLFE
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Credential |
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Telephone | 907-586-0375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TR0322
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License Number State | AK
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