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General NPI Number Information
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NPI Number | 1124006200
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Entity Type | Individual
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Provider Name | WILLIAM CHESTER FORD JR. NP-C
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1124006200 829 CHIEF EDDIE HOFFMAN HWY
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City | BETHEL
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State | AK
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Zip | 99559
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Country | US
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Telephone | 907-543-6430
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 E PAMELA DR
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City | WASILLA
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State | AK
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Zip | 99654-0552
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Country | US
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Telephone | 706-498-2361
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN144697
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 121442
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License Number State | AK
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