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General NPI Number Information
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NPI Number | 1508706318
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Entity Type | Organization
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Legal Business Name | PANA LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 532 W CALLE LAS TUNAS
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City | SAHUARITA
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State | AZ
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Zip | 85629-8232
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Country | US
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Telephone | 520-303-8178
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Fax |
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Provider Business Mailing Address
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Address Line | 532 W CALLE LAS TUNAS, SAHUARITA
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City | SAHUARITA
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State | AZ
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Zip | 85629
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Country | US
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Telephone | 520-303-8178
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ARIEL HAYNES
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Credential |
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Telephone | 520-303-8178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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