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General NPI Number Information
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NPI Number | 1407465305
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Entity Type | Organization
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Legal Business Name | BLISSFUL PRIMARY HOME CARE LLC
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1802 CLARK BLVD
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City | LAREDO
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State | TX
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Zip | 78043-2319
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Country | US
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Telephone | 956-482-5376
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Fax | 956-441-0940
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Provider Business Mailing Address
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Address Line | 1802 CLARK BLVD
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City | LAREDO
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State | TX
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Zip | 78043-2319
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Country | US
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Telephone | 956-482-5376
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Fax | 956-441-0940
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Authorized Official
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Title or Position | MEMBER
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Name | ROBERTO RODRIGUEZ III
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Credential |
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Telephone | 956-482-5376
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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