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General NPI Number Information
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NPI Number | 1780704494
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Entity Type | Organization
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Legal Business Name | MIDNIGHT SUN FAMILY MEDICINE, PC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 475 RIVERSTONE WAY # 5
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City | FAIRBANKS
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State | AK
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Zip | 99709-2945
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Country | US
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Telephone | 907-455-7123
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Fax | 907-455-7125
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Provider Business Mailing Address
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Address Line | 475 RIVERSTONE WAY # 5
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City | FAIRBANKS
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State | AK
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Zip | 99709-2945
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Country | US
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Telephone | 907-455-7123
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Fax | 907-455-7125
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. S. GAYLE KAIHOI
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Credential | D.O.
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Telephone | 907-455-7123
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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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