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General NPI Number Information
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NPI Number | 1326583907
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Entity Type | Organization
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Legal Business Name | BRIDGES HOME HEALTH, INC.
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 335 N AUSTIN DR STE 1A
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City | CHANDLER
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State | AZ
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Zip | 85226-2621
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Country | US
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Telephone | 602-841-1855
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Fax | 602-532-7832
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Provider Business Mailing Address
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Address Line | 335 N AUSTIN DR STE 1A
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City | CHANDLER
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State | AZ
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Zip | 85226-2621
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Country | US
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Telephone | 602-841-1855
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Fax | 602-532-7832
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CAROLYN ROMERO
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Credential | RN, BSN
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Telephone | 818-268-8813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA8001
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License Number State | AZ
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