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General NPI Number Information
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NPI Number | 1356698161
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Entity Type | Individual
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Provider Name | FRANCINE SOPHIE ANDREW BEHAVIORAL HEALTH AI
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Gender | Female
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 08/10/2012
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Provider Practice Location Address
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Address Line | 1047 AIRPORT ROAD
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City | KOKHANOK
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State | AK
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Zip | 99606-1047
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Country | US
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Telephone | 907-282-2220
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Fax | 907-282-2226
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | DILLINGHAM
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State | AK
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Zip | 99576-0130
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Country | US
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Telephone | 907-842-1230
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Fax | 907-842-5174
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 10-010-BHAII
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License Number State | AK
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