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General NPI Number Information
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NPI Number | 1518752690
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Entity Type | Organization
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Legal Business Name | BARTLETT REGIONAL HOSPITAL
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 10301 GLACIER HWY
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City | JUNEAU
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State | AK
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Zip | 99801-8565
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Country | US
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Telephone | 907-789-2910
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Fax |
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Provider Business Mailing Address
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Address Line | 3260 HOSPITAL DR
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City | JUNEAU
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State | AK
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Zip | 99801-7808
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Country | US
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Telephone | 907-789-2910
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH WANNER
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Credential |
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Telephone | 907-796-8687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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