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General NPI Number Information
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NPI Number | 1285597674
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Entity Type | Organization
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Legal Business Name | ABLOOM OF DALLAS
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2222 MEDICAL DISTRICT DR APT 1506
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City | DALLAS
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State | TX
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Zip | 75235-8035
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Country | US
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Telephone | 919-457-1484
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Fax | 855-937-0826
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Provider Business Mailing Address
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Address Line | 2222 MEDICAL DISTRICT DR APT 1506
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City | DALLAS
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State | TX
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Zip | 75235-8035
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | CORNELIUS JONES
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Credential |
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Telephone | 919-594-9756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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