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General NPI Number Information
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NPI Number | 1376551978
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Entity Type | Organization
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Legal Business Name | ENDURO MEDICAL ENTERPRISES, LLC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3541 ENDURO DR
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86404-2255
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Country | US
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Telephone | 928-854-2806
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Fax |
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Provider Business Mailing Address
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Address Line | 3541 ENDURO DR
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86404-2255
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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 | NURSE PRACTITIONER/OWNER
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Name | NATASCHA E. TROEHLER
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Credential | ANP-C
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Telephone | 928-854-2806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP2374
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License Number State | AZ
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