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General NPI Number Information
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NPI Number | 1235008137
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Entity Type | Organization
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Legal Business Name | HUMBERTO R. INZUNZA PA-C, LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 37290 N SCHNEPF RD
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-9786
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Country | US
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Telephone | 480-776-9417
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Fax | 480-907-2110
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Provider Business Mailing Address
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Address Line | 37290 N SCHNEPF RD
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-9786
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Country | US
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Telephone | 480-776-9417
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Fax | 480-907-2110
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Authorized Official
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Title or Position | PA-C
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Name | HUMBERTO ROBERT INZUNZA
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Credential | PA-C
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Telephone | 602-637-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 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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