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General NPI Number Information
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NPI Number | 1215553029
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Entity Type | Organization
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Legal Business Name | RESILIENT YOUTH AND COMMUNITY (RYC)
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 2951 BARANOF AVENUE
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City | KETCHIKAN
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State | AK
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Zip | 99901
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Country | US
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Telephone | 907-225-4664
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Fax | 907-885-6613
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Provider Business Mailing Address
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Address Line | PO BOX 7475
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City | KETCHIKAN
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State | AK
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Zip | 99901-2475
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Country | US
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Telephone | 907-225-4664
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Fax | 907-885-6613
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Authorized Official
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Title or Position | RYC CEO
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Name | MR. DUSTIN ART LARNA
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Credential |
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Telephone | 907-220-7299
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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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