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General NPI Number Information
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NPI Number | 1184575334
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Entity Type | Organization
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Legal Business Name | BJH GENTLE HANDS HOME CARE
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 4933 W LA PUENTA AVE
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City | LAVEEN
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State | AZ
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Zip | 85339-3176
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Country | US
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Telephone | 669-732-0065
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Fax |
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Provider Business Mailing Address
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Address Line | 4933 W LA PUENTA AVE
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City | LAVEEN
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State | AZ
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Zip | 85339-3176
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Country | US
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Telephone | 669-732-0065
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BERTRAND KUKWA
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Credential |
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Telephone | 669-732-0065
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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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