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General NPI Number Information
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NPI Number | 1861304560
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Entity Type | Individual
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Provider Name | CHERYL S CORDIE RN
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Gender | Female
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 4000 OLD SEWARD HWY STE 300
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City | ANCHORAGE
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State | AK
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Zip | 99503-6079
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Country | US
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Telephone | 907-770-0862
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 671733
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City | CHUGIAK
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State | AK
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Zip | 99567-1733
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Country | US
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Telephone | 907-727-4314
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | NURR25533
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License Number State | AK
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