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General NPI Number Information
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NPI Number | 1366812166
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Entity Type | Organization
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Legal Business Name | SUNSET COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 675 S AVENUE B BLDG A
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City | YUMA
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State | AZ
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Zip | 85364-2749
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Country | US
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Telephone | 928-539-3140
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Fax | 928-782-5296
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Provider Business Mailing Address
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Address Line | 2060 W 24TH ST
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City | YUMA
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State | AZ
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Zip | 85364-6123
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Country | US
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Telephone | 928-819-8802
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DAVID D ROGERS
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Credential |
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Telephone | 928-819-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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