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General NPI Number Information
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NPI Number | 1235425752
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Entity Type | Organization
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Legal Business Name | BLESSING HANDS
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 75 TATE DR
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City | OAKLAND
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State | TN
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Zip | 38060-6032
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Country | US
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Telephone | 901-387-7914
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Fax |
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Provider Business Mailing Address
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Address Line | 75 TATE DR
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City | OAKLAND
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State | TN
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Zip | 38060-6032
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Country | US
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Telephone | 901-387-7914
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Fax |
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Authorized Official
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Title or Position | CERTIFIED NURSING ASSISTANT
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Name | MS. LATUNGIA BROOKS
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Credential |
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Telephone | 901-387-7914
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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 | 00049981
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License Number State | TN
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