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General NPI Number Information
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NPI Number | 1891996187
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Entity Type | Organization
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Legal Business Name | BLUEBONNET SENIOR CARE LLC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3434 ACORN SPRINGS LN
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City | SPRING
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State | TX
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Zip | 77389-4784
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Country | US
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Telephone | 281-355-1305
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Fax | 281-355-1341
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Provider Business Mailing Address
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Address Line | 3434 ACORN SPRINGS LN
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City | SPRING
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State | TX
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Zip | 77389-4784
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Country | US
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Telephone | 281-355-1305
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Fax | 281-355-1341
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JOSEPHINE RIMANDO JULARBAL
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Credential | RN
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Telephone | 281-355-1305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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