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General NPI Number Information
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NPI Number | 1164192381
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Entity Type | Organization
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Legal Business Name | BLISS SPECIALTY HEALTHCARE GROUP
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Dates
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Enumeration Date | 09/18/2021
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 6388 SILVER STAR RD STE 2H
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City | ORLANDO
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State | FL
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Zip | 32818-3235
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Country | US
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Telephone | 352-205-9149
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Fax | 866-341-7847
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Provider Business Mailing Address
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Address Line | 6388 SILVER STAR RD STE 2H
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City | ORLANDO
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State | FL
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Zip | 32818-3235
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Country | US
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Telephone | 407-704-1771
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Fax | 866-522-0166
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Authorized Official
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Title or Position | CEO
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Name | KINGSLEY ALIU
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Credential | MD
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Telephone | 352-205-9149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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