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General NPI Number Information
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NPI Number | 1851751606
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Entity Type | Organization
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Legal Business Name | BLESSINGS FROM THE SKY LLC
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Dates
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Enumeration Date | 03/07/2016
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 314 CUNNINGHAM LN
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City | CLARKSVILLE
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State | TN
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Zip | 37042-5312
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Country | US
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Telephone | 931-401-8277
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30673
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City | CLARKSVILLE
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State | TN
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Zip | 37040-0012
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Country | US
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Telephone | 931-401-8277
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | TELENA TEASLEY
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Credential |
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Telephone | 931-401-8277
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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 | 105876
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License Number State | TN
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