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General NPI Number Information
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NPI Number | 1972429892
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Entity Type | Organization
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Legal Business Name | CENTRAL PENINSULA GENERAL HOSPITAL, INC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 254 N BINKLEY ST
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City | SOLDOTNA
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State | AK
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Zip | 99669-7522
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Country | US
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Telephone | 907-714-5930
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Fax |
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Provider Business Mailing Address
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Address Line | 250 HOSPITAL PL
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City | SOLDOTNA
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State | AK
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Zip | 99669-7559
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Country | US
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Telephone | 907-714-4575
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Fax | 907-262-5191
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Authorized Official
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Title or Position | ASSOCIATE CFO
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Name | SHANDA RICHARDS
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Credential |
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Telephone | 907-714-4502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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