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General NPI Number Information
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NPI Number | 1275271769
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Entity Type | Organization
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Legal Business Name | MARIKEET HOME HEALTH SERVICES OF ALASKA, LLC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 02/18/2023
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Provider Practice Location Address
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Address Line | 161 N BINKLEY ST STE 203
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City | SOLDOTNA
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State | AK
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Zip | 99669-7571
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Country | US
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Telephone | 907-252-7801
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Fax | 907-771-9711
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Provider Business Mailing Address
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Address Line | 161 N BINKLEY ST STE 203
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City | SOLDOTNA
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State | AK
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Zip | 99669-7571
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Country | US
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Telephone | 907-252-7801
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Fax | 907-771-9711
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIA MCLANE
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Credential |
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Telephone | 907-252-7810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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