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General NPI Number Information
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NPI Number | 1619874484
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Entity Type | Organization
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Legal Business Name | ALPINE PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 10/23/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 10208 WREN LANE
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City | EAGLE RIVER
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State | AK
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Zip | 99577
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Country | US
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Telephone | 386-244-4313
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Fax |
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Provider Business Mailing Address
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Address Line | 243 E 5TH AVE # 1098
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City | ANCHORAGE
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State | AK
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Zip | 99501-2519
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Country | US
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Telephone | 386-244-4313
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. ABEGAIL R MILLARD
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Credential | PSYD
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Telephone | 907-931-6862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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