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General NPI Number Information
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NPI Number | 1487052742
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Entity Type | Organization
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Legal Business Name | BLESSINGS BEYOND
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 12/29/2014
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Provider Practice Location Address
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Address Line | 327 LIVINGSTON ST A
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City | JACKSON
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State | MS
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Zip | 39202-1525
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Country | US
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Telephone | 769-524-7848
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Fax | 601-510-9364
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Provider Business Mailing Address
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Address Line | PO BOX 1993
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City | JACKSON
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State | MS
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Zip | 39215-1993
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Country | US
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Telephone | 769-524-7848
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Fax | 601-510-9364
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUANITA LATRICE MAYES
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Credential | MBCS
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Telephone | 601-573-4515
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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 | 44780
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 44780
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License Number State | MS
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