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General NPI Number Information
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NPI Number | 1124843560
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Entity Type | Organization
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Legal Business Name | BLUEBONNET HEALTHCARE, INC.
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 109 NORTHPARK BLVD STE 310
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City | COVINGTON
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State | LA
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Zip | 70433-5094
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Country | US
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Telephone | 985-732-4892
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Fax | 985-732-1878
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Provider Business Mailing Address
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Address Line | PO BOX 40018
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City | BATON ROUGE
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State | LA
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Zip | 70835-0018
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Country | US
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Telephone | 225-906-4644
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Fax | 225-753-0948
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD THOMAS DASPIT
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Credential |
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Telephone | 225-906-4646
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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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