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General NPI Number Information
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NPI Number | 1588563555
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Entity Type | Organization
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Legal Business Name | CROSSROADS CARE COORDINATION
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 4677 N TRACE ANDERSON CIR STE 1
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City | WASILLA
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State | AK
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Zip | 99654-0493
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Country | US
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Telephone | 907-917-0531
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Fax |
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Provider Business Mailing Address
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Address Line | 4677 N TRACE ANDERSON CIR
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City | WASILLA
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State | AK
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Zip | 99654-0493
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Country | US
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Telephone | 907-917-0531
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUE ELLEN WARD
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Credential | WARD
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Telephone | 907-917-0531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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