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General NPI Number Information
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NPI Number | 1336029925
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Entity Type | Organization
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Legal Business Name | NBBA
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1560 BROADWAY STE 1600
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City | DENVER
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State | CO
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Zip | 80202-5160
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Country | US
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Telephone | 480-493-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 10210 N 92ND ST STE 104
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4531
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Country | US
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Telephone | 480-493-0900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY TREVINO-GOMBAR
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Credential | FNP
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Telephone | 623-295-1190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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