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General NPI Number Information
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NPI Number | 1043157944
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Entity Type | Organization
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Legal Business Name | BLOOMIDI LLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 12044 FLOWERING LAVENDER LOOP
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City | HENRICO
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State | VA
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Zip | 23233-6944
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Country | US
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Telephone | 571-250-7227
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Fax | 826-666-5591
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Provider Business Mailing Address
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Address Line | 12044 FLOWERING LAVENDER LOOP
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City | HENRICO
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State | VA
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Zip | 23233-6944
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Country | US
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Telephone | 571-250-7227
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Fax | 826-666-5591
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Authorized Official
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Title or Position | OWNER
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Name | ZEINA AL SAADI
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Credential |
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Telephone | 571-250-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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