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General NPI Number Information
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NPI Number | 1225216963
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL SUNRISE CENTER, PLLC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 4143 E ANDREA DR
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2635
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Country | US
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Telephone | 480-563-3587
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Fax |
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Provider Business Mailing Address
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Address Line | 29834 N CAVE CREEK RD SUITE 118 PMB-241
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City | CAVE CREEK
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State | AZ
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Zip | 85331-5836
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Country | US
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Telephone | 480-563-3587
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Fax |
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Authorized Official
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Title or Position | SOLE PROPIETOR/MEMBER
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Name | DR. DINA REIMER
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Credential | PSYD
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Telephone | 480-563-3587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3501
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License Number State | AZ
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