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General NPI Number Information
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NPI Number | 1215055777
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Entity Type | Organization
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Legal Business Name | PASCUA YAQUI TRIBE
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 4631 W CALLE TORIM
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City | TUCSON
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State | AZ
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Zip | 85757
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Country | US
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Telephone | 520-879-5720
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Fax | 520-879-5730
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Provider Business Mailing Address
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Address Line | 4567 W TETAKUSIM RD
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City | TUCSON
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State | AZ
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Zip | 85746-9713
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Country | US
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Telephone | 520-879-6039
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | LINDA GUERRERO
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Credential |
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Telephone | 520-879-6039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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