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General NPI Number Information
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NPI Number | 1487218483
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Entity Type | Organization
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Legal Business Name | BLESSED HANDS MOBILE PLLC
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3501 RICE ST STE 2020
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City | LIHUE
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State | HI
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Zip | 96766-1757
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Country | US
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Telephone | 480-203-1843
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 81093
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City | PHOENIX
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State | AZ
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Zip | 85069-1093
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Country | US
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Telephone | 602-492-2887
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | LUCKY K ROBINSON
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Credential | APRN, AGPC, DNP-C
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Telephone | 808-378-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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