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General NPI Number Information
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NPI Number | 1497774780
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Entity Type | Organization
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Legal Business Name | SUNSET COMMUNITY HEALTH CENTER INC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 115 N SOMERTON AVE
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City | SOMERTON
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State | AZ
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Zip | 85350
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Country | US
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Telephone | 928-627-1671
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Fax | 928-627-1673
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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 | 928-819-8941
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Fax | 928-376-6606
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Authorized Official
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Title or Position | CEO
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Name | DAVID ROGERS
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Credential | MBA
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | Y003049
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License Number State | AZ
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