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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI Number | 1356550685 |
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| LBN Legal business name | TANANA CHIEFS CONFERENCE | ||||
| Authorized official | JACOLINE BERGSTROM - (HS DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/22/2007 | ||||
| Last updated | 04/28/2025 - More than a year ago | ||||
| Identifiers |
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TANANA CHIEFS CONFERENCE