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General NPI Number Information
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NPI Number | 1508656190
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Entity Type | Organization
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Legal Business Name | BLOSSOMS AND BLESSINGS HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 3029 MABUS DR
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City | AUGUSTA
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State | GA
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Zip | 30909-9429
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Country | US
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Telephone | 706-877-8042
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Fax |
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Provider Business Mailing Address
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Address Line | 3029 MABUS DR
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City | AUGUSTA
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State | GA
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Zip | 30909-9429
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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 | CEO
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Name | MELONEY JOHNSON
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Credential |
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Telephone | 706-877-8042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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