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General NPI Number Information
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NPI Number | 1235874694
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Entity Type | Organization
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Legal Business Name | BLESS THERAPY, LLC
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Dates
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Enumeration Date | 04/30/2022
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Last Update Date | 04/30/2022
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Provider Practice Location Address
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Address Line | 9480 S EASTERN AVE STE 268
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City | LAS VEGAS
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State | NV
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Zip | 89123-8000
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Country | US
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Telephone | 787-487-4066
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Fax |
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Provider Business Mailing Address
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Address Line | 604 CADENCE VIEW WAY
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City | HENDERSON
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State | NV
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Zip | 89011-5337
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Country | US
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Telephone | 787-487-4066
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIANGEL CALDERON
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Credential |
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Telephone | 787-487-4066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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