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General NPI Number Information
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NPI Number | 1417173857
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Entity Type | Organization
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Legal Business Name | SONORAN UNIVERSITY OF HEALTH SCIENCES
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2164 E. BROADWAY ROAD
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City | TEMPE
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State | AZ
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Zip | 85282-1751
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Country | US
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Telephone | 480-970-0000
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Fax | 480-970-0003
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Provider Business Mailing Address
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Address Line | 2164 E. BROADWAY ROAD
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City | TEMPE
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State | AZ
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Zip | 85282-1751
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Country | US
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Telephone | 480-970-0000
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Fax | 480-970-0003
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Authorized Official
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Title or Position | SENIOR PRACTICE MANAGER
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Name | DEBBIE ICKES
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Credential |
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Telephone | 480-222-9819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State | AZ
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