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General NPI Number Information
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NPI Number | 1457146177
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Entity Type | Organization
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Legal Business Name | BLOOMING SUN, LLC
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Dates
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Enumeration Date | 04/12/2025
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 135 PASEO DEL PRADO AVE STE 8
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City | EDINBURG
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State | TX
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Zip | 78539-9615
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Country | US
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Telephone | 956-450-4087
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Fax | 956-450-4089
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Provider Business Mailing Address
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Address Line | 135 PASEO DEL PRADO AVE STE 8
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City | EDINBURG
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State | TX
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Zip | 78539-9615
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Country | US
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Telephone | 956-450-4087
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Fax | 956-450-4089
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Authorized Official
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Title or Position | CO- WONDER
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Name | MRS. NANCY CAROLINA PEREZ
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Credential |
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Telephone | 956-450-4087
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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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