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General NPI Number Information
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NPI Number | 1477457679
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Entity Type | Organization
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Legal Business Name | SKY ISLAND COMMUNITY HEALTH LLC
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 439 N JOHN ADAMS ST
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City | ORACLE
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State | AZ
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Zip | 85623-0549
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Country | US
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Telephone | 520-440-4172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5392
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City | ORACLE
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State | AZ
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Zip | 85623-5392
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Country | US
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Telephone | 520-440-4172
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KATHRYN LYNN CLARKE
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Credential | NP
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Telephone | 520-440-4172
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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 | NULL
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