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General NPI Number Information
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NPI Number | 1235817727
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Entity Type | Organization
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Legal Business Name | SUPERIOR BLESSINGS LLC
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 303 N. STADIUM BLVD 2ND FLOOR
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City | COLUMBIA
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State | MO
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Zip | 65203-1493
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Country | US
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Telephone | 573-239-2182
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Fax | 573-554-5462
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Provider Business Mailing Address
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Address Line | 303 N. STADIUM BLVD 2ND FLOOR
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City | COLUMBIA
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State | MO
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Zip | 65203-1493
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Country | US
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Telephone | 573-239-2182
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Fax | 573-554-5462
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JENNIFER DAWN FELTNER
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Credential | MBA
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Telephone | 573-239-2182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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