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NPI 1194878637

NPI 1194878637 : BLESSED ALMS, INC. : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1194878637
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLESSED ALMS, INC. 
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Dates
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    Enumeration Date     |    01/19/2007
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    Last Update Date     |    10/15/2008
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Provider Practice Location Address
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    Address Line         |    1221 MAGNOLIA ST SUITE #9
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-6113
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    Country              |    US
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    Telephone            |    336-370-0999
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    Fax                  |    336-370-0077
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Provider Business Mailing Address
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    Address Line         |    PO BOX 16527 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27416-0527
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    Country              |    US
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    Telephone            |    336-370-0999
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    Fax                  |    336-370-0077
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Authorized Official
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    Title or Position    |    OWNER DIRECTOR
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    Name                 |     BOBBY  CUNNINGHAM 
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    Credential           |    QMHP
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    Telephone            |    336-997-0971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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