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General NPI Number Information
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NPI Number | 1194569392
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Entity Type | Organization
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Legal Business Name | INFINITE HEALING ARTS ALASKA
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 565 UNIVERSITY AVE
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City | FAIRBANKS
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State | AK
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Zip | 99709-3688
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Country | US
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Telephone | 907-371-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 2640 KUSKOKWIM AVE
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City | FAIRBANKS
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State | AK
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Zip | 99709-4820
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Country | US
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Telephone | 907-371-8860
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MS. ZOEY CONNER
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Credential | LMT
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Telephone | 907-371-8860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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