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General NPI Number Information
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NPI Number | 1821759630
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Entity Type | Organization
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Legal Business Name | INTIMATE HEALTH TELEMEDICINE LLC
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1500 S WHITE MOUNTAIN RD STE 401B
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City | SHOW LOW
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State | AZ
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Zip | 85901-7117
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Country | US
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Telephone | 928-251-2914
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S WHITE MOUNTAIN RD STE 401B
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City | SHOW LOW
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State | AZ
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Zip | 85901-7117
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Country | US
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Telephone | 928-251-2914
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR NURSE PRACTITIONER
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Name | MS. SHARON KAYE ZELL
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Credential | NP-C
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Telephone | 425-244-4303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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