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General NPI Number Information
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NPI Number | 1578001319
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Entity Type | Organization
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Legal Business Name | SIERRA ESTRELLAS EMERGENCY PHYSICIANS LLC
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2400 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7127
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Country | US
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Telephone | 954-939-5000
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Fax | 877-250-6889
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Provider Business Mailing Address
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Address Line | PO BOX 99035
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City | LAS VEGAS
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State | NV
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Zip | 89193-9035
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Country | US
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Telephone | 954-939-5000
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Fax | 877-250-6889
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CHRISTOPHER KENNEDY
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Credential |
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Telephone | 207-807-9009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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