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General NPI Number Information
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NPI Number | 1316518145
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Entity Type | Organization
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Legal Business Name | BLISS FERTILITY AND WOMEN'S HEALTH PLLC
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 7631 212TH ST SW STE 107B
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 206-715-7674
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Fax |
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Provider Business Mailing Address
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Address Line | 7631 212TH ST SW STE 107B
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 206-715-7674
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZA MARTIN
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Credential | NP
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Telephone | 206-715-7674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number |
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License Number State |
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