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General NPI Number Information
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NPI Number | 1699305631
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Entity Type | Individual
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Provider Name | PURITY JEBET SANG FNP- BC
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Gender | Female
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 8573 E PRINCESS DR STE 221
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7825
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Country | US
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Telephone | 480-656-4048
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Fax | 480-247-6146
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Provider Business Mailing Address
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Address Line | 4035 S RIVERPOINT PKWY
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City | PHOENIX
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State | AZ
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Zip | 85040-0723
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 236097
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 236097
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License Number State | AZ
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