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General NPI Number Information
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NPI Number | 1649860198
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Entity Type | Organization
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Legal Business Name | CK HEALTH LLC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 3050 N NAVAJO DR STE 107
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-8665
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Country | US
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Telephone | 928-923-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 9270 E HUNTERS RANCH RD
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86315-9184
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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 | MEMBER
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Name | CAROLINE BINGHAM
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Credential |
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Telephone | 858-692-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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