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General NPI Number Information
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NPI Number | 1891097697
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Entity Type | Organization
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Legal Business Name | CHIEF ANEDREW ISAAC HEALTH CENTER
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 1408 19TH AVE
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City | FAIRBANKS
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State | AK
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Zip | 99701-5903
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Country | US
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Telephone | 907-451-6682
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Fax | 907-458-3817
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Provider Business Mailing Address
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Address Line | 1408 19TH AVE
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City | FAIRBANKS
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State | AK
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Zip | 99701-5903
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Country | US
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Telephone | 907-451-6682
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Fax | 907-458-3817
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MRS. MICHELLE COE
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Credential | RN
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Telephone | 907-451-6683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 6337
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License Number State | AK
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