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General NPI Number Information
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NPI Number | 1083554711
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Entity Type | Organization
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Legal Business Name | BRAVE HEARTS CARE SOLUTIONS OF AZ
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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 | 3133 W FRYE RD STE 101
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City | CHANDLER
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State | AZ
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Zip | 85226-5132
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Country | US
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Telephone | 626-551-9471
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Fax |
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Provider Business Mailing Address
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Address Line | 191 S SIERRA MADRE BLVD APT 208
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City | PASADENA
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State | CA
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Zip | 91107-4146
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Country | US
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Telephone | 626-551-9471
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SARAH AMANDA HARMON
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Credential |
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Telephone | 626-551-9471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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