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General NPI Number Information
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NPI Number | 1235648387
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Entity Type | Organization
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Legal Business Name | BLESSED & HIGHLY FAVORED HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 638 INDEPENDENCE PKWY STE 150
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5222
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Country | US
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Telephone | 757-743-3991
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Fax |
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Provider Business Mailing Address
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Address Line | 638 INDEPENDENCE PKWY STE 150
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5222
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Country | US
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Telephone | 757-620-2298
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOROTHEA L RIDDICK
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Credential |
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Telephone | 757-743-3991
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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 | 1810
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License Number State | VA
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