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General NPI Number Information
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NPI Number | 1710802806
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Entity Type | Organization
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Legal Business Name | ABUNDANCE QUALITY HOME HEALTHCARE
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 2703 W SEMINOLE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-3231
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Country | US
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Telephone | 217-652-8457
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 W SEMINOLE ST APT B
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City | SPRINGFIELD
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State | MO
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Zip | 65807-3209
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Country | US
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Telephone | 217-652-8457
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TENEKWA BLAIR
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Credential | NURSE AID
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Telephone | 217-652-8457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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