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General NPI Number Information
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NPI Number | 1578409611
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Entity Type | Individual
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Provider Name | MCKENZI MAZUR
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 3835 SPENARD RD
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City | ANCHORAGE
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State | AK
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Zip | 99517-2678
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Country | US
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Telephone | 907-274-9355
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 205
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City | DENALI NATIONAL PARK
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State | AK
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Zip | 99755-0205
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Country | US
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Telephone | 609-980-9312
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 253100
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License Number State | AK
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