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General NPI Number Information
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NPI Number | 1740018787
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Entity Type | Organization
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Legal Business Name | BLESSED FAMILY WELLNESS
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 950 W UNIVERSITY AVE STE 103
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City | GEORGETOWN
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State | TX
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Zip | 78626-6505
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Country | US
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Telephone | 512-757-5848
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SPANISH OAK LN
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City | LIBERTY HILL
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State | TX
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Zip | 78642-4515
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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 | SHAUNA WOOD
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Credential | DC
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Telephone | 512-757-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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