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General NPI Number Information
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NPI Number | 1366998114
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Entity Type | Organization
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Legal Business Name | ALASKANS CHANGING TOGETHER, INC.
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 241 5TH AVE
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City | KOTZEBUE
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State | AK
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Zip | 99752
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Country | US
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Telephone | 907-412-2882
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 831
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City | KOTZEBUE
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State | AK
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Zip | 99752-0831
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Country | US
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Telephone | 907-412-2882
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Fax |
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Authorized Official
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Title or Position | PROJECT DIRECTOR
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Name | KATHERINE KEITH
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Credential |
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Telephone | 907-412-2882
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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 |
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License Number State |
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