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NPI 1174735575

NPI 1174735575 : YOUTH ADVOCATES OF SITKA, INC : SITKA, AK

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General NPI Number Information
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    NPI Number           |    1174735575
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    Entity Type          |    Organization 
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    Legal Business Name  |    YOUTH ADVOCATES OF SITKA, INC 
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Dates
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    Enumeration Date     |    05/06/2007
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    805 LINCOLN ST 
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    City                 |    SITKA
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    State                |    AK
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    Zip                  |    99835-7651
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    Country              |    US
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    Telephone            |    907-747-3687
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    Fax                  |    907-747-3627
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Provider Business Mailing Address
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    Address Line         |    805 LINCOLN ST 
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    City                 |    SITKA
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    State                |    AK
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    Zip                  |    99835-7651
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    Country              |    US
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    Telephone            |    907-747-3687
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    Fax                  |    907-747-3627
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. HEATHER  MEURET 
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    Credential           |    
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    Telephone            |    907-747-3687
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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 |    AK
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