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General NPI Number Information
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NPI Number | 1336504521
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Entity Type | Organization
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Legal Business Name | ORTHOALASKA, LLC
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3801 LAKE OTIS PKWY SUITE 300
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City | ANCHORAGE
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State | AK
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Zip | 99508-5234
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Country | US
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Telephone | 907-562-2277
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Fax | 907-563-3460
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Provider Business Mailing Address
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Address Line | 3801 LAKE OTIS PKWY SUITE 300
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City | ANCHORAGE
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State | AK
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Zip | 99508-5234
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Country | US
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Telephone | 907-562-2277
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Fax | 907-563-3460
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ELISHA POWELL
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Credential |
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Telephone | 907-562-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 79607D
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License Number State | AK
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Taxonomy #8
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #15
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 79607D
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License Number State | AK
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