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General NPI Number Information
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NPI Number | 1942161260
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Entity Type | Organization
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Legal Business Name | AK HOUSE OF COURAGE LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 9405 CRAM GULCH RD
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City | YREKA
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State | CA
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Zip | 96097-9105
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Country | US
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Telephone | 530-598-6872
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Fax |
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Provider Business Mailing Address
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Address Line | 9405 CRAM GULCH RD
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City | YREKA
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State | CA
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Zip | 96097-9105
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Country | US
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Telephone | 530-598-6872
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM TAYLOR
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Credential |
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Telephone | 530-598-3593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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