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General NPI Number Information
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NPI Number | 1326147893
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Entity Type | Organization
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Legal Business Name | NORTHERN APACHE COUNTY SPECIAL HEALTH CARE DISTRICT
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 359-A WEST HIGHWAY 264
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City | ST MICHAELS
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State | AZ
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Zip | 86511-0370
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Country | US
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Telephone | 928-810-3800
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Fax | 928-810-3811
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | ST MICHAELS
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State | AZ
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Zip | 86511-0370
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Country | US
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Telephone | 928-810-3800
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Fax | 928-810-3811
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Authorized Official
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Title or Position | REVENUE CYCLE SPECIALIST
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Name | MS. DENIKKA SUE TSOSIE
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Credential |
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Telephone | 928-810-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | OTC2967
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License Number State | AZ
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