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General NPI Number Information
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NPI Number | 1487775128
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Entity Type | Individual
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Provider Name | ALYSSA BROOKE SEXTON RN
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 222 TONGASS DR
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City | SITKA
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State | AK
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Zip | 99835-9416
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Country | US
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Telephone | 907-966-8369
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Fax | 907-966-8668
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Provider Business Mailing Address
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Address Line | 115 KNUTSON DR
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City | SITKA
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State | AK
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Zip | 99835-9783
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Country | US
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Telephone | 907-966-3020
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Fax | 907-966-8668
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 26805
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License Number State | AK
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