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General NPI Number Information
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NPI Number | 1083129944
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Entity Type | Organization
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Legal Business Name | JH BACKCOUNTRY HEALTH LLC
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 7216 LAKE OTIS PKWY
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City | ANCHORAGE
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State | AK
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Zip | 99507-2740
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Country | US
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Telephone | 907-720-2132
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Fax | 907-802-4450
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Provider Business Mailing Address
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Address Line | PO BOX 230622
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City | ANCHORAGE
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State | AK
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Zip | 99523-0622
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Country | US
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Telephone | 307-699-3213
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Fax | 907-802-4450
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. TYLER ROSS WRIGHT
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Credential | DC
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Telephone | 307-699-1702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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