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General NPI Number Information
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NPI Number | 1306590575
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Entity Type | Organization
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Legal Business Name | PURE BLISS FAMILY HEALTH NP AND RN PLLC
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 230 HILTON AVE STE 2
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City | HEMPSTEAD
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State | NY
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Zip | 11550-8116
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Country | US
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Telephone | 201-500-9622
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Fax | 201-643-6645
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Provider Business Mailing Address
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Address Line | 12049 PIONEERS WAY APT 2219
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City | ORLANDO
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State | FL
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Zip | 32832-2811
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Country | US
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Telephone | 201-500-9622
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Fax | 201-643-6645
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Authorized Official
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Title or Position | FOUNDER
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Name | TAMARA HENRY
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Credential |
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Telephone | 516-655-3684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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