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General NPI Number Information
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NPI Number | 1891651642
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Entity Type | Individual
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Provider Name | BLESSY THOMAS
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Gender | Female
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 3755 S ROME ST
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City | GILBERT
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State | AZ
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Zip | 85297-7361
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Country | US
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Telephone | 480-667-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 S NIELSON ST
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City | GILBERT
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State | AZ
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Zip | 85296-3672
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Country | US
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Telephone | 480-353-8504
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 333241
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License Number State | AZ
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