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General NPI Number Information
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NPI Number | 1235098088
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Entity Type | Organization
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Legal Business Name | OHANA STRAIGHT ARROW SOUTH
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 6511 W STRAIGHT ARROW LN
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City | PHOENIX
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State | AZ
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Zip | 85083-7506
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Country | US
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Telephone | 602-753-6076
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Fax |
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Provider Business Mailing Address
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Address Line | 14155 N 83RD AVE STE 117
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City | PEORIA
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State | AZ
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Zip | 85381-5640
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RYAN SENTERS
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Credential |
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Telephone | 602-341-6990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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