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General NPI Number Information
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NPI Number | 1194812024
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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 | 10/10/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 7300A KLAWOCK HOLLIS HIGHWAY
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City | KLAWOCK
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State | AK
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Zip | 99925
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Country | US
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Telephone | 907-523-4343
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Fax | 907-600-5121
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Provider Business Mailing Address
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Address Line | 3100 CHANNEL DRIVE STE 300
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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 | 907-463-4074
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Fax | 907-463-1510
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Authorized Official
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Title or Position | SE VP / CFO
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Name | DANIEL HARRIS
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Credential |
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Telephone | 907-463-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 113762
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number | 113762
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License Number State | AK
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