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General NPI Number Information
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NPI Number | 1174108880
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Entity Type | Organization
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Legal Business Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
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Dates
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Enumeration Date | 03/15/2021
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 100 FRAM STREET
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City | PETERSBURG
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State | AK
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Zip | 99833
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Country | US
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Telephone | 907-772-3332
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Fax | 800-858-8850
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Provider Business Mailing Address
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Address Line | 3100 CHANNEL DR STE 300
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City | JUNEAU
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State | AK
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Zip | 99801-7837
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Country | US
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Telephone | 907-463-4074
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Fax |
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Authorized Official
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Title or Position | SR. VP/ CFO
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Name | DANIEL HARRIS
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Credential |
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Telephone | 907-433-4000
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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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