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NPI 1447986955

NPI 1447986955 : GOLDEN HEART HEALTH & WELLNESS : FAIRBANKS, AK

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General NPI Number Information
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    NPI Number           |    1447986955
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN HEART HEALTH & WELLNESS 
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Dates
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    Enumeration Date     |    07/27/2022
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    3550 AIRPORT WAY STE 5 
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    City                 |    FAIRBANKS
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    State                |    AK
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    Zip                  |    99709-4772
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    Country              |    US
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    Telephone            |    907-290-8430
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    Fax                  |    907-205-4337
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Provider Business Mailing Address
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    Address Line         |    424 HENDERSON RD S UNIT B 
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    City                 |    FAIRBANKS
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    State                |    AK
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    Zip                  |    99709-2415
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER
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    Name                 |     CAROLINE  HUTTO 
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    Credential           |    APRN
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    Telephone            |    907-290-8430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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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        |    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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