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General NPI Number Information
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NPI Number | 1265053318
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Entity Type | Organization
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Legal Business Name | AIMEE BURGESS DC LLC
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 03/06/2022
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Provider Practice Location Address
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Address Line | 600 UNIVERSITY AVE STE 3C
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City | FAIRBANKS
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State | AK
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Zip | 99709-3651
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Country | US
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Telephone | 907-251-1054
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Fax | 907-308-6576
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Provider Business Mailing Address
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Address Line | 3875 GEIST RD STE E136
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City | FAIRBANKS
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State | AK
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Zip | 99709-3564
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Country | US
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Telephone | 678-357-9653
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Fax | 907-308-6576
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | AIMEE BURGESS
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Credential | DC
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Telephone | 907-251-1054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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