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General NPI Number Information
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NPI Number | 1629906599
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Entity Type | Organization
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Legal Business Name | ALASKA CHILDREN'S PRIMARY CARE
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 751 E 36TH AVE STE 100
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City | ANCHORAGE
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State | AK
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Zip | 99503-4166
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Country | US
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Telephone | 907-222-5090
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Fax | 907-222-5093
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Provider Business Mailing Address
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Address Line | 751 E 36TH AVE STE 100
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City | ANCHORAGE
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State | AK
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Zip | 99503-4166
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Country | US
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Telephone | 907-222-5090
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Fax | 907-222-5093
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JENNIFER AUSTIN
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Credential | APRN
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Telephone | 907-222-5090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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