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General NPI Number Information
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NPI Number | 1720936487
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Entity Type | Organization
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Legal Business Name | BLOOMCARE LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 1441 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33612-3633
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Country | US
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Telephone | 813-568-8616
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Fax |
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Provider Business Mailing Address
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Address Line | 8201 ASH AVE
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City | TAMPA
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State | FL
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Zip | 33619-7041
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Country | US
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Telephone | 813-568-8616
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TAQUILA CLARK
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Credential |
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Telephone | 813-312-6611
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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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