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General NPI Number Information
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NPI Number | 1831448398
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Entity Type | Organization
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Legal Business Name | LECHEE HEALTH FACILITY
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 3 MILES SOUTH OF PAGE, AZ COPPERMINE ROAD
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City | LECHEE
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State | AZ
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Zip | 86040-0000
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Country | US
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Telephone | 928-698-4914
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Fax | 928-283-2677
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Provider Business Mailing Address
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Address Line | PO BOX 600 167 NORTH MAIN STREET
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City | TUBA CITY
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State | AZ
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Zip | 86045-0600
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Country | US
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Telephone | 928-283-2781
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Fax | 928-283-2677
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Authorized Official
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Title or Position | CEO
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Name | JOETTE WALTERS
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Credential |
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Telephone | 928-283-2147
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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