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NPI 1073259636

NPI 1073259636 : TRUE NORTH RECOVERY INC : FAIRBANKS, AK

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General NPI Number Information
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    NPI Number           |    1073259636
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUE NORTH RECOVERY INC 
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Dates
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    Enumeration Date     |    05/06/2022
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    Last Update Date     |    01/27/2026
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Provider Practice Location Address
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    Address Line         |    4880 OLD AIRPORT RD 
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    City                 |    FAIRBANKS
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    State                |    AK
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    Zip                  |    99709-4456
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    Country              |    US
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    Telephone            |    907-313-1333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    357 E PARKS HWY STE 100 
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    City                 |    WASILLA
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    State                |    AK
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    Zip                  |    99654-7005
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    Country              |    US
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    Telephone            |    907-313-1333
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    Fax                  |    907-313-4566
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Authorized Official
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    Title or Position    |    CRO
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    Name                 |     ERIN ROSE KRAUS 
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    Credential           |    
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    Telephone            |    907-313-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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