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General NPI Number Information
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NPI Number | 1609549575
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Entity Type | Organization
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Legal Business Name | KAM'S BLESSING
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 627 PONDVIEW DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-6219
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Country | US
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Telephone | 214-207-4160
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1193
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City | CEDAR HILL
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State | TX
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Zip | 75106-1193
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Country | US
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Telephone | 214-207-4160
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AZIA GRIFFIN
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Credential |
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Telephone | 214-207-4160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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