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General NPI Number Information
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NPI Number | 1811040231
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Entity Type | Organization
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Legal Business Name | BLESSED HEALTHCARE INC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 7201 BRIGHTON HILL LN
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City | RALEIGH
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State | NC
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Zip | 27616-8369
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Country | US
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Telephone | 919-217-0944
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Fax | 919-217-0944
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Provider Business Mailing Address
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Address Line | 7201 BRIGHTON HILL LN
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City | RALEIGH
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State | NC
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Zip | 27616-8369
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Country | US
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Telephone | 919-219-0944
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Fax | 919-217-0944
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CHILEAKAM CHIDI CHUKWUNYERE
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Credential | MD
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Telephone | 919-217-0944
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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 | HC3562
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License Number State | NC
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