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General NPI Number Information
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NPI Number | 1619523156
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Entity Type | Organization
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Legal Business Name | INLET CLINICAL SERVICES LLC
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 299 N BINKLEY ST
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City | SOLDOTNA
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State | AK
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Zip | 99669-7523
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Country | US
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Telephone | 907-262-3800
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Fax | 907-262-6429
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Provider Business Mailing Address
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Address Line | 299 N BINKLEY ST
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City | SOLDOTNA
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State | AK
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Zip | 99669-7523
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Country | US
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Telephone | 907-262-3800
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Fax | 907-262-6429
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Authorized Official
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Title or Position | DIRECTOR
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Name | JUSTIN RUFFRIDGE
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Credential | PHARMD
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Telephone | 907-262-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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