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NPI Code Detail

MEDICARE: DELITE ECLAIRER LLC

MEDICARE: DELITE ECLAIRER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse

General Provider Information

NPI Number : 1164355384
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELITE ECLAIRER LLC
Provider Business Mailing Address
First Line : 2923 N 67TH PL
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6001
Country : US
Telephone Number : 480-630-7542
Fax Number :
Provider Business Practice Location Address
First Line : 2923 N 67TH PL
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6001
Country : US
Telephone Number : 480-630-7542
Fax Number :
Authorized Official
Title or Position : OWNER/OPERATOR
Name : SUMAR KASIK
Credential : TN
Telephone Number : 602-300-5564
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/06/2026

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Directions to “DELITE ECLAIRER LLC ” Practice Location

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