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General NPI Number Information
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NPI Number | 1043613219
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Entity Type | Organization
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Legal Business Name | TINY BLESSINGS, LLC
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 256 W ACRES RD
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-5355
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Country | US
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Telephone | 903-603-1292
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Fax | 903-887-0133
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Provider Business Mailing Address
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Address Line | 256 W ACRES RD
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-5355
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Country | US
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Telephone | 903-603-1292
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Fax | 903-887-0133
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA KAY UMANA
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Credential |
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Telephone | 903-603-1292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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