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General NPI Number Information
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NPI Number | 1417157421
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Entity Type | Organization
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Legal Business Name | BLESSED CARE
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 552 OLD HUNTSVILLE RD
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-6029
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Country | US
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Telephone | 931-249-7809
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Fax | 931-438-2879
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Provider Business Mailing Address
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Address Line | 552 OLD HUNTSVILLE RD
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-6029
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Country | US
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Telephone | 931-249-7809
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Fax | 931-438-2879
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Authorized Official
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Title or Position | PRACTIONER
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Name | MRS. LINDA RILEY ALFORD
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Credential | RN,CNM,FNP
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Telephone | 931-249-7809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APN0000005383
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License Number State | TN
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