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General NPI Number Information
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NPI Number | 1770469322
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Entity Type | Organization
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Legal Business Name | ARIZONA HEALING HEARTS PLLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1400 S DOBSON RD
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City | MESA
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State | AZ
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Zip | 85202-4707
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Country | US
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Telephone | 480-412-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 N SCOTTSDALE RD STE 9-737
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3331
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Country | US
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Telephone | 206-228-0070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GORDON ALAN COHEN
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Credential | MD
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Telephone | 206-228-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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