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General NPI Number Information
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NPI Number | 1306787585
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Entity Type | Individual
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Provider Name | MR. ISAIAH CARTER AKSELSEN
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Gender | Male
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 2355 CENTRAL AVE STE D
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-3684
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Country | US
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Telephone | 707-499-8066
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Fax |
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Provider Business Mailing Address
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Address Line | 2452 TOWER DR
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City | EUREKA
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State | CA
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Zip | 95503-9653
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Country | US
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Telephone | 707-740-3339
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | CA
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