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General NPI Number Information
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NPI Number | 1831989730
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Entity Type | Organization
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Legal Business Name | CHUGACH TRAINING & EDUCATIONAL SOLUTIONS LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 800 E LYNN MARTIN DR
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City | PALMER
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State | AK
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Zip | 99645-6785
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Country | US
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Telephone | 907-861-8801
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E LYNN MARTIN DR
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City | PALMER
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State | AK
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Zip | 99645-6785
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Country | US
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Telephone | 907-861-8801
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Fax |
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Authorized Official
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Title or Position | CENTER DIRECTOR
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Name | BOBBIE IRVIN
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Credential |
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Telephone | 907-861-8800
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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 | 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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