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General NPI Number Information
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NPI Number | 1194968081
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Entity Type | Organization
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Legal Business Name | NATIONAL SINUS INSTITUTE PLLC
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3917 WEST RD
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2275
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Country | US
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Telephone | 505-661-4147
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Fax | 505-661-4199
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Provider Business Mailing Address
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Address Line | 1620 N MAIN ST
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City | SPANISH FORK
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State | UT
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Zip | 84660-1008
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Country | US
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Telephone | 801-822-2234
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Fax | 855-894-1638
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ADRIENNE SUMMERS
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Credential |
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Telephone | 435-559-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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