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General NPI Number Information
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NPI Number | 1730163361
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Entity Type | Individual
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Provider Name | DENISE RENEE SACKETT DO
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1120 S DOBSON RD STE 225
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City | CHANDLER
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State | AZ
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Zip | 85286-6170
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Country | US
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Telephone | 480-728-5460
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Fax |
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Provider Business Mailing Address
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Address Line | 633 E RAY RD #133
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City | GILBERT
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State | AZ
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Zip | 85296-4200
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Country | US
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Telephone | 480-782-0609
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Fax | 482-782-0610
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4020
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License Number State | AZ
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