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General NPI Number Information
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NPI Number | 1619675600
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Entity Type | Organization
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Legal Business Name | ABLOOM HEALTH CARE
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 51 W ELLIOT RD STE 102
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City | TEMPE
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State | AZ
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Zip | 85284-1311
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Country | US
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Telephone | 480-590-0020
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Fax | 480-590-0809
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Provider Business Mailing Address
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Address Line | 51 W ELLIOT RD STE 102
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City | TEMPE
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State | AZ
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Zip | 85284-1311
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Country | US
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Telephone | 480-590-0020
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Fax | 480-590-0809
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Authorized Official
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Title or Position | CEO
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Name | MATTIE GAFFNEY
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Credential |
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Telephone | 480-590-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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