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General NPI Number Information
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NPI Number | 1396609418
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Entity Type | Organization
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Legal Business Name | NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | US 191 & AZ SR 264
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City | GANADO
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State | AZ
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Zip | 86505
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Country | US
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Telephone | 928-755-4666
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Fax | 928-755-4758
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Provider Business Mailing Address
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Address Line | PO BOX 457
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City | GANADO
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State | AZ
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Zip | 86505-0457
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Country | US
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Telephone | 928-755-4666
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Fax | 928-755-4758
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Authorized Official
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Title or Position | PURCHASE PREFERRED CARE
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Name | TISHINA CHEE
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Credential | OFFICE CLERK
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Telephone | 928-755-4666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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