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NPI 1518862655

NPI 1518862655 : SONORAN CLINICAL PARTNERS PLLC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1518862655
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    Entity Type          |    Organization 
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    Legal Business Name  |    SONORAN CLINICAL PARTNERS PLLC 
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Dates
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    Enumeration Date     |    10/09/2026
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    Last Update Date     |    10/09/2026
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Provider Practice Location Address
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    Address Line         |    9700 N 91ST ST STE A115 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5036
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    Country              |    US
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    Telephone            |    623-462-9012
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    Fax                  |    223-212-0573
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Provider Business Mailing Address
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    Address Line         |    9700 N 91ST ST STE A115 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5036
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    Country              |    US
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    Telephone            |    623-462-9012
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    Fax                  |    223-212-0573
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Authorized Official
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    Title or Position    |    CHIEF OPERATING OFFICER
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    Name                 |     MARIAM B SALISU 
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    Credential           |    MD
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    Telephone            |    623-462-9012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #3
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #4
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    
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    License Number State |    NULL
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