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General NPI Number Information
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NPI Number | 1083421770
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Entity Type | Organization
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Legal Business Name | BLESSED ONES HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 267 JOHN KNOX RD STE 102
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6692
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Country | US
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Telephone | 850-320-6652
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Fax |
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Provider Business Mailing Address
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Address Line | 335 HIGHLAND RD
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City | HAVANA
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State | FL
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Zip | 32333-4426
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Country | US
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Telephone | 850-321-9551
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Fax | 850-536-7616
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | QUANDRA MESHANE WHALEY
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Credential |
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Telephone | 850-321-9551
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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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