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General NPI Number Information
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NPI Number | 1144989534
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Entity Type | Organization
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Legal Business Name | THRIVE INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 3835 SPENARD RD
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City | ANCHORAGE
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State | AK
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Zip | 99517-2678
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Country | US
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Telephone | 907-274-9355
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Fax | 907-274-9345
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Provider Business Mailing Address
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Address Line | 3835 SPENARD RD
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City | ANCHORAGE
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State | AK
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Zip | 99517-2678
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Country | US
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Telephone | 907-274-9355
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Fax | 907-274-9345
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Authorized Official
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Title or Position | OWNER
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Name | ABBY MARISSA LAING
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Credential | ND
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Telephone | 503-593-9971
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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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