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General NPI Number Information
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NPI Number | 1225792088
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Entity Type | Individual
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Provider Name | SUNSHINE DURFEY WHNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 107 INSTITUTE ST
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City | JAMESTOWN
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State | NY
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Zip | 14701-6628
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Country | US
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Telephone | 716-484-4334
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Fax |
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Provider Business Mailing Address
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Address Line | 1038 N PLAZA DR # 1038
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City | RICHFIELD
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State | UT
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Zip | 84701-1862
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Country | US
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Telephone | 620-617-3200
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 9868877-4405
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License Number State | UT
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