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General NPI Number Information
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NPI Number | 1144969288
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Entity Type | Organization
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Legal Business Name | BLOOM CONCIERGE SERVICES, PLLC
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 5206 CEDAR ST
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City | BELLAIRE
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State | TX
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Zip | 77401-3915
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Country | US
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Telephone | 713-553-7322
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 BROADMEAD DR
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City | HOUSTON
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State | TX
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Zip | 77025-3702
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Country | US
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Telephone | 806-252-4553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA K HOWARD
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Credential | PT, DPT, C/NDT
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Telephone | 806-252-4553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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