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General NPI Number Information
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NPI Number | 1255214201
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Entity Type | Organization
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Legal Business Name | SHIFT BIO-ROOTED MEDICINE
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 11000 N SCOTTSDALE RD STE 195
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6130
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Country | US
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Telephone | 602-899-1881
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Fax |
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Provider Business Mailing Address
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Address Line | 7620 E MCKELLIPS RD # 4-501
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-4600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NATUROPATHIC MEDICAL DOCTOR
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Name | DOMINIQUE SABAS
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Credential | NMD
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Telephone | 602-899-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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