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General NPI Number Information
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NPI Number | 1174216097
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Entity Type | Individual
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Provider Name | ESSENCE NOWAK-SATTERWHITE
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Gender | Female
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 28657 N DOLOMITE LN
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-6053
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Country | US
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Telephone | 520-280-9038
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Fax |
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Provider Business Mailing Address
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Address Line | 28657 N DOLOMITE LN
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-6053
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Country | US
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Telephone | 520-280-9038
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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 | 132700000X
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Taxonomy Name | Dietary Manager
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License Number |
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | D07601447
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | T073664
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 281464
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License Number State | AZ
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