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General NPI Number Information
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NPI Number | 1447124326
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Entity Type | Organization
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Legal Business Name | DESERT SENITA COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 13060 S SUNLAND GIN RD
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City | ARIZONA CITY
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State | AZ
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Zip | 85123-8448
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Country | US
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Telephone | 520-387-5651
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N MALACATE ST
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City | AJO
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State | AZ
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Zip | 85321-2254
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Country | US
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Telephone | 520-387-5651
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JENNIFER WARD
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Credential |
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Telephone | 520-387-5651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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