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General NPI Number Information
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NPI Number | 1467809186
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Entity Type | Individual
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Provider Name | MARGIE HELMS
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Gender | Female
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 3449 E REZANOF DR
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City | KODIAK
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State | AK
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Zip | 99615-6952
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Country | US
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Telephone | 907-486-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 3449 E REZANOF DR
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City | KODIAK
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State | AK
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Zip | 99615-6952
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Country | US
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Telephone | 907-486-9800
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Fax |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 15-1352-II
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 15-1352-III
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License Number State | AK
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