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General NPI Number Information
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NPI Number | 1457497232
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Entity Type | Organization
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Legal Business Name | BLOSSOM GROUPS CORPORATION
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 12959 JUPITER RD #253
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City | DALLAS
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State | TX
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Zip | 75238-5223
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Country | US
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Telephone | 469-906-6359
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Fax | 469-906-6385
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Provider Business Mailing Address
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Address Line | 12959 JUPITER RD #253
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City | DALLAS
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State | TX
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Zip | 75238-5223
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Country | US
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Telephone | 469-906-6359
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Fax | 469-906-6385
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Authorized Official
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Title or Position | RN
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Name | UKACHI AKOGU
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Credential | ADMINISTRATOR
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Telephone | 469-906-6359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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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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