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General NPI Number Information
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NPI Number | 1902152556
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Entity Type | Organization
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Legal Business Name | NORTHERN ARIZONA PAIN SERVICES LLC
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 708 E STATE HIGHWAY 260 STE B1
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City | PAYSON
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State | AZ
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Zip | 85541-5095
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Country | US
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Telephone | 928-474-2234
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Fax | 928-474-4056
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Provider Business Mailing Address
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Address Line | 1210 NORTH MARISSA CIRCLE
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City | PAYSON
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State | AZ
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Zip | 85541-3372
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Country | US
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Telephone | 913-481-1911
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Fax | 928-474-4056
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Authorized Official
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Title or Position | SOLE MEMBER/PROVIDER
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Name | SUZANNE LEA MORSE
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Credential | APRN
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Telephone | 913-481-1911
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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 | AP5348
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4407
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License Number State | AZ
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