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General NPI Number Information
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NPI Number | 1831397512
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Entity Type | Organization
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Legal Business Name | SIERRA VISTA INTERNAL MEDICINE, PLLC
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 75 COLONIA DE SALUD SUITE 200A
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2487
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Country | US
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Telephone | 520-458-8145
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Fax | 877-771-1056
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Provider Business Mailing Address
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Address Line | 75 COLONIA DE SALUD SUITE 200A
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2487
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Country | US
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Telephone | 520-458-8145
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Fax | 877-771-1056
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TERESA MARIE BROWNING
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Credential |
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Telephone | 520-458-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | E76714
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License Number State | AZ
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