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General NPI Number Information
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NPI Number | 1497601165
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS ALASKA LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 2525 AZURITE CT APT B
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City | ANCHORAGE
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State | AK
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Zip | 99507-3108
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Country | US
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Telephone | 907-406-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 22665 SAMBAR LOOP
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City | CHUGIAK
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State | AK
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Zip | 99567-5379
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Country | US
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Telephone | 907-351-9099
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT J KING
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Credential |
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Telephone | 907-351-9099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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