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NPI 1982508941

NPI 1982508941 : SUNSITES HOLISTIC AND FAMILY MEDICINE, LLC : PEARCE, AZ

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General NPI Number Information
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    NPI Number           |    1982508941
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUNSITES HOLISTIC AND FAMILY MEDICINE, LLC 
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Dates
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    Enumeration Date     |    10/05/2026
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    Last Update Date     |    10/05/2026
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Provider Practice Location Address
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    Address Line         |    571 N FRONTAGE RD #A
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    City                 |    PEARCE
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    State                |    AZ
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    Zip                  |    85625
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    Country              |    US
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    Telephone            |    520-251-9856
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 250 
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    City                 |    PEARCE
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    State                |    AZ
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    Zip                  |    85625-0250
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    Country              |    US
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    Telephone            |    520-251-9856
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    Fax                  |    888-533-0966
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     TREVOR  JONES 
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    Credential           |    FNP
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    Telephone            |    520-251-9856
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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 |    NULL
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