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NPI 1003830043

NPI 1003830043 : BLESSINGCARE CORPORATION : PITTSFIELD, IL

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General NPI Number Information
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    NPI Number           |    1003830043
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLESSINGCARE CORPORATION 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    11/27/2023
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Provider Practice Location Address
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    Address Line         |    640 W WASHINGTON ST 
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    City                 |    PITTSFIELD
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    State                |    IL
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    Zip                  |    62363-1350
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    Country              |    US
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    Telephone            |    217-285-2113
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    Fax                  |    217-285-5102
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Provider Business Mailing Address
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    Address Line         |    640 W WASHINGTON ST 
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    City                 |    PITTSFIELD
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    State                |    IL
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    Zip                  |    62363-1350
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    Country              |    US
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    Telephone            |    217-285-2113
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    Fax                  |    217-285-5102
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     CONNIE L. SCHROEDER 
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    Credential           |    
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    Telephone            |    217-285-2113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    MD034738E
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    License Number State |    PA
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