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General NPI Number Information
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NPI Number | 1154568053
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Entity Type | Organization
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Legal Business Name | JORDAN CREEK FAMILY HEALTH CARE
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 3032 VINTAGE BLVD STE 100
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City | JUNEAU
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State | AK
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Zip | 99801
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Country | US
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Telephone | 907-789-1600
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Fax | 907-789-2260
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Provider Business Mailing Address
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Address Line | 3032 VINTAGE BLVD STE 100
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City | JUNEAU
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State | AK
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Zip | 99801
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Country | US
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Telephone | 907-789-1600
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Fax | 907-789-2260
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Authorized Official
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Title or Position | OWNER
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Name | DR. APRIL L. SAPP
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Credential | DNP, NP-C
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Telephone | 907-789-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 882
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License Number State | AK
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