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General NPI Number Information
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NPI Number | 1962625939
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Entity Type | Organization
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Legal Business Name | NOME COMMUNITY CENTER, INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 505 WEST 3RD AVENUE
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City | NOME
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State | AK
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Zip | 99762
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Country | US
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Telephone | 907-443-5259
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Fax | 907-443-2990
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Provider Business Mailing Address
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Address Line | P.O. BOX 98
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City | NOME
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State | AK
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Zip | 99762-0098
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Country | US
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Telephone | 907-443-5259
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Fax | 907-443-2990
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DANIELLE SLINGSBY
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Credential |
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Telephone | 907-443-5259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | HC9475
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | HC9475
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 60313008
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License Number State | AK
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