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General NPI Number Information
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NPI Number | 1558225466
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Entity Type | Individual
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Provider Name | CINDY LANDIS
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 5777 E MAYO BLVD
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City | PHOENIX
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State | AZ
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Zip | 85054-4502
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Country | US
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Telephone | 480-574-5336
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Fax |
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Provider Business Mailing Address
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Address Line | 4832 N WOODMERE FAIRWAY UNIT C106
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN166985
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License Number State | AZ
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