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General NPI Number Information
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NPI Number | 1841747250
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Entity Type | Organization
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Legal Business Name | CHUGACH ORAL AND MAXILLOFACIAL SURGERY
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 2000 ABBOTT RD STE 200
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City | ANCHORAGE
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State | AK
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Zip | 99507-3878
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Country | US
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Telephone | 843-693-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 ABBOTT ROAD STE 200
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City | ANCHORAGE
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State | AK
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Zip | 99507
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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 | DR. JAMES WOOD HOWELL
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Credential | DMD
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Telephone | 843-693-8901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 1536
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License Number State | AK
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