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General NPI Number Information
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NPI Number | 1851233365
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Entity Type | Organization
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Legal Business Name | CITRUS PRIMARY AND WELLNESS LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 14040 N CAVE CREEK RD STE 210
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City | PHOENIX
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State | AZ
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Zip | 85022-6179
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Country | US
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Telephone | 623-278-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 14040 N CAVE CREEK RD STE 210
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City | PHOENIX
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State | AZ
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Zip | 85022-6179
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Country | US
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Telephone | 623-278-4141
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEXANDRA CAIENAR
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Credential | NP
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Telephone | 623-276-6136
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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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