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General NPI Number Information
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NPI Number | 1598608259
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Entity Type | Organization
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Legal Business Name | SAGUARO DIRECT CARE, PLLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 3741 KIOWA BLVD S
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86404-2334
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Country | US
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Telephone | 928-813-3685
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Fax | 928-268-0240
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Provider Business Mailing Address
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Address Line | 3741 KIOWA BLVD S
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86404-2334
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Country | US
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Telephone | 928-813-3685
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Fax | 928-268-0240
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ZANE AHMED
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Credential | DO
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Telephone | 928-813-3685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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