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General NPI Number Information
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NPI Number | 1477936334
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Entity Type | Organization
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Legal Business Name | ARCTIC THERAPY & REHAB BETHEL
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 107 ALEX HATLEY DR, STE B
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City | BETHEL
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State | AK
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Zip | 99559-3466
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Country | US
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Telephone | 907-543-7600
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Fax | 877-803-8297
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Provider Business Mailing Address
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Address Line | 1150 S COLONY WAY STE 3 PMB 226
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City | PALMER
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State | AK
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Zip | 99645-6967
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Country | US
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Telephone | 907-543-7601
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Fax | 907-543-7018
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Authorized Official
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Title or Position | OWNER
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Name | DR. WALTER CAMPBELL
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Credential | DC
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Telephone | 907-250-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 2841
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License Number State | AK
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