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General NPI Number Information
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NPI Number | 1992302061
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Entity Type | Organization
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Legal Business Name | BLESSINGS IN DISGUISE LLC
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Dates
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Enumeration Date | 10/02/2020
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 52 23RD ST S
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City | BATTLE CREEK
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State | MI
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Zip | 49015-2706
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Country | US
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Telephone | 586-696-1891
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Fax |
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Provider Business Mailing Address
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Address Line | 18709 ALBION ST
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City | DETROIT
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State | MI
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Zip | 48234-3701
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Country | US
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Telephone | 586-696-1891
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KADEIDRA WOODS
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Credential |
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Telephone | 586-696-1891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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