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General NPI Number Information
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NPI Number | 1780118828
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Entity Type | Organization
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Legal Business Name | HOLISTIC BLESSINGS, INC.
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Dates
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Enumeration Date | 04/15/2017
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Last Update Date | 04/15/2017
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Provider Practice Location Address
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Address Line | 1325 ILLINOIS AVE
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City | LANCASTER
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State | TX
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Zip | 75134-1691
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Country | US
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Telephone | 469-222-6740
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Fax | 972-224-0543
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Provider Business Mailing Address
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Address Line | 1325 ILLINOIS AVE
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City | LANCASTER
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State | TX
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Zip | 75134-1691
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Country | US
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Telephone | 469-222-6740
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Fax | 972-224-0543
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Authorized Official
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Title or Position | PRESIDENT
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Name | TEKOAH WELLMAKER-WATTS
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Credential | REGISTERED NURSE
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Telephone | 469-222-6740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #6
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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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