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General NPI Number Information
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NPI Number | 1083310882
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Entity Type | Organization
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Legal Business Name | GAMUT HEALTH PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 9700 N 91ST ST STE A115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5036
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Country | US
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Telephone | 602-833-2273
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Fax | 602-613-8353
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Provider Business Mailing Address
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Address Line | 2760 W PEORIA AVE # 1184
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City | PHOENIX
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State | AZ
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Zip | 85029-5202
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Country | US
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Telephone | 602-833-2273
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / NURSE PRACTITIONER
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Name | JESSICA EDMONDS
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Credential | MSN, APRN, FNP-C
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Telephone | 574-360-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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