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General NPI Number Information
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NPI Number | 1639630858
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Entity Type | Organization
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Legal Business Name | BLOOM AND SHINE SERVICES LLC
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 90 AIRPORT RD STE 27
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City | CONCORD
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State | NH
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Zip | 03301-5326
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Country | US
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Telephone | 603-227-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 90 AIRPORT RD STE 27
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City | CONCORD
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State | NH
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Zip | 03301-5326
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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 | OWNER
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Name | SURAJ BUDATHOKI
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Credential |
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Telephone | 603-227-6789
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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 | 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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