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General NPI Number Information
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NPI Number | 1487013553
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Entity Type | Organization
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Legal Business Name | BLESSED GROUP LLC
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | CARRETERA 164 KM 6 BO ACHIOTE
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City | NARANJITO
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State | PR
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Zip | 00719
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Country | US
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Telephone | 787-909-4408
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 673
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City | NARANJITO
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State | PR
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Zip | 00719-0673
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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 | DIRECTOR
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Name | EMILY HERNANDEZ
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Credential |
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Telephone | 787-909-4408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 964
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1014
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License Number State | PR
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