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General NPI Number Information
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NPI Number | 1518159268
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Entity Type | Organization
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Legal Business Name | DHHS PHS NAIHS SHIPROCK HOSPITAL
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | US HWY 160 & NAVAJO ROUTE 35 - RED MESA
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City | TEECNOSPOS
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State | AZ
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Zip | 86514
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Country | US
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Telephone | 928-656-5163
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Fax | 928-656-5162
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Provider Business Mailing Address
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Address Line | HCR 6100 BOX 30
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City | TEECNOSPOS
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State | AZ
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Zip | 86514
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Country | US
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Telephone | 928-656-5163
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Fax | 928-656-5162
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Authorized Official
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Title or Position | HEALTH SYSTEM ADMINISTRATOR
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Name | ROBINA HARVEY
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Credential |
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Telephone | 505-368-6007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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