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NPI 1275546723

NPI 1275546723 : SANDRA LEE WEEKS ANP : DELTA JUNCTION, AK

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General NPI Number Information
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    NPI Number           |    1275546723
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA LEE WEEKS ANP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/15/2006
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    Last Update Date     |    04/01/2013
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Provider Practice Location Address
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    Address Line         |    HC 62 BOX 5386 
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    City                 |    DELTA JUNCTION
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    State                |    AK
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    Zip                  |    99737-9501
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    Country              |    US
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    Telephone            |    907-895-5528
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    Fax                  |    907-895-5528
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Provider Business Mailing Address
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    Address Line         |    HC 62 BOX 5386 
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    City                 |    DELTA JUNCTION
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    State                |    AK
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    Zip                  |    99737-9501
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    Country              |    US
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    Telephone            |    907-895-5528
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    Fax                  |    907-895-5528
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    775
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    License Number State |    AK
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