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General NPI Number Information
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NPI Number | 1265703482
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Entity Type | Individual
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Provider Name | MARY DOWNS-LAST RN
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 1867 AIRPORT WAY
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City | FAIRBANKS
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State | AK
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Zip | 99701-4054
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Country | US
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Telephone | 907-452-6330
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Fax |
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Provider Business Mailing Address
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Address Line | 87 SLATER DR #2
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City | FAIRBANKS
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State | AK
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Zip | 99701-3450
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Country | US
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Telephone | 574-276-2913
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 7389376
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1438
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License Number State | AK
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