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General NPI Number Information
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NPI Number | 1588501290
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Entity Type | Organization
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Legal Business Name | TRIUNITY HEALTHCARE, PLLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1830 S COYOTE HILL RD
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City | CLARKDALE
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State | AZ
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Zip | 86324-3500
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Country | US
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Telephone | 657-600-2100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | CLARKDALE
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State | AZ
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Zip | 86324-0144
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Country | US
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Telephone | 657-600-2100
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SHAUNDA AYLENE BUENO
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Credential | NP
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Telephone | 657-600-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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