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General NPI Number Information
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NPI Number | 1407339203
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Entity Type | Individual
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Provider Name | JILL CHRISTINE STILL L.AC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2018
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 1601 SALMON CREEK LN
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City | JUNEAU
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State | AK
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Zip | 99801-7867
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Country | US
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Telephone | 907-796-9984
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Fax | 855-756-1810
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Provider Business Mailing Address
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Address Line | 6885B LESLIE AVE
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City | JUNEAU
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State | AK
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Zip | 99801-7927
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Country | US
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Telephone | 907-796-9984
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Fax | 855-756-1810
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 137180
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License Number State | AK
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