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General NPI Number Information
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NPI Number | 1538980156
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Entity Type | Organization
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Legal Business Name | BLOOM AND BIOME CONSULTING, INC
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 300 FRANCES ST
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1828
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Country | US
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Telephone | 714-552-9931
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Fax |
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Provider Business Mailing Address
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Address Line | 105 CATALINA WAY
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1436
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Country | US
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Telephone | 714-552-9931
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWNALEA ROBINSON
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Credential | RN, IBCLC
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Telephone | 714-552-9931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | NULL
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