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General NPI Number Information
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NPI Number | 1285058818
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Entity Type | Organization
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Legal Business Name | ALASKA ANESTHESIA LLC
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 9641 ALBATROSS DR
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City | ANCHORAGE
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State | AK
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Zip | 99502-1684
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Country | US
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Telephone | 907-770-9600
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Fax | 907-770-9072
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Provider Business Mailing Address
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Address Line | 9641 ALBATROSS DR
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City | ANCHORAGE
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State | AK
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Zip | 99502-1684
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Country | US
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Telephone | 907-770-9600
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Fax | 907-770-9072
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. WILLIAM HAMMEL
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Credential | MD
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Telephone | 907-770-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 958995
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License Number State | AK
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