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General NPI Number Information
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NPI Number | 1609704055
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Entity Type | Organization
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Legal Business Name | BIRCH MEDICAL BILLING, LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 10823 E PALMER WASILLA HWY STE 2
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City | PALMER
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State | AK
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Zip | 99645-9498
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Country | US
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Telephone | 907-707-3847
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Fax | 907-313-4204
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Provider Business Mailing Address
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Address Line | 10823 E PALMER WASILLA HWY STE 2
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City | PALMER
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State | AK
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Zip | 99645-9498
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Country | US
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Telephone | 907-707-3847
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Fax | 907-313-4204
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Authorized Official
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Title or Position | OWNER
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Name | LEO PETTIT
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Credential | LMT
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Telephone | 907-707-3847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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