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General NPI Number Information
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NPI Number | 1811322175
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Entity Type | Organization
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Legal Business Name | ALASKAN'S CARING FOR ALASKAN'S CARE COORDINATION SERVICES
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 51045 POLARIS WAY
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City | KENAI
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State | AK
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Zip | 99611
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Country | US
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Telephone | 907-394-4275
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7533
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City | NIKISKI
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State | AK
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Zip | 99635-7533
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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 | OWNER
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Name | ANDREA LYNN MILLER
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Credential |
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Telephone | 907-394-4275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 992218
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License Number State | AK
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