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General NPI Number Information
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NPI Number | 1588596746
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Entity Type | Organization
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Legal Business Name | RURAL ISLAND MEDICAL LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 2.6 MILE ZIMOVIA HWY
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City | WRANGELL
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State | AK
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Zip | 99929
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Country | US
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Telephone | 360-217-9392
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1094
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City | WRANGELL
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State | AK
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Zip | 99929-1094
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Country | US
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Telephone | 808-265-4482
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTOR SANOE HARRISON
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Credential | MD
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Telephone | 360-217-9392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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