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General NPI Number Information
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NPI Number | 1730639436
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Entity Type | Organization
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Legal Business Name | U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 17101 SNOWMOBILE LN SUITE 102
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City | EAGLE RIVER
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State | AK
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Zip | 99577-7043
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Country | US
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Telephone | 907-694-7223
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Fax | 907-696-5123
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Provider Business Mailing Address
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Address Line | 5080 SPECTRUM DR STE 1200W
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City | ADDISON
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State | TX
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Zip | 75001-4624
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | JOHN ANDERSON
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Credential |
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Telephone | 972-364-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine 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 | 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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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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