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General NPI Number Information
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NPI Number | 1760754618
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Entity Type | Organization
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Legal Business Name | BLESSED ASSURANCE HOMEHEALTH CARE, INC.
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 11231 HIGHWAY 150 SUITE A
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City | SHEPHERD
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State | TX
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Zip | 77371-2961
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Country | US
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Telephone | 936-585-4519
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Fax | 936-585-4772
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Provider Business Mailing Address
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Address Line | 11231 HIGHWAY 150 SUITE A
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City | SHEPHERD
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State | TX
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Zip | 77371-2961
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Country | US
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Telephone | 936-585-4519
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Fax | 936-585-4772
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MS. SHERI TAJUDEEN
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Credential | RN
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Telephone | 936-585-4519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 014854
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License Number State | TX
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