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General NPI Number Information
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NPI Number | 1336054964
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Entity Type | Organization
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Legal Business Name | INTEGRATED CARE PHYSICIANS PLLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 1000 N WEST ST STE 1200
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City | WILMINGTON
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State | DE
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Zip | 19801-1058
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Country | US
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Telephone | 602-387-4001
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Fax | 615-479-9760
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Provider Business Mailing Address
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Address Line | 2375 E CAMELBACK RD STE 600
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City | PHOENIX
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State | AZ
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Zip | 85016-3493
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Country | US
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Telephone | 602-387-4001
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KIRK STANLEY
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Credential |
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Telephone | 615-479-9760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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