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General NPI Number Information
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NPI Number | 1538016712
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Entity Type | Organization
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Legal Business Name | CANYON ARIZONA HOME CARE & HOSPICE LLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 10150 W DESERT RIVER BLVD STE A-110
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City | GLENDALE
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State | AZ
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Zip | 85307-3008
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Country | US
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Telephone | 602-216-2273
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Fax | 602-443-5398
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Provider Business Mailing Address
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Address Line | 746 E WINCHESTER ST STE 200
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City | MURRAY
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State | UT
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Zip | 84107-8513
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Country | US
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Telephone | 801-485-6166
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Fax | 801-531-1949
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | BREEZIE LISKEY
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Credential |
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Telephone | 801-445-6787
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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 |
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License Number State |
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