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General NPI Number Information
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NPI Number | 1972456762
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Entity Type | Individual
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Provider Name | BRENTON HILL
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Gender | Male
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 26731 W POINT MACKENZIE RD
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City | WASILLA
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State | AK
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Zip | 99623-8709
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Country | US
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Telephone | 907-376-4534
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2715
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City | PALMER
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State | AK
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Zip | 99645-2715
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 238164
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License Number State | AK
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