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General NPI Number Information
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NPI Number | 1336997212
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Entity Type | Organization
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Legal Business Name | TRULY BLISS, LLC
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Dates
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Enumeration Date | 05/07/2024
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 6388 SILVER STAR RD STE 2F
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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 | 561-758-9775
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Fax | 866-341-7847
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Provider Business Mailing Address
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Address Line | 2124 RICKOVER PL
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5485
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Country | US
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Telephone | 561-531-4002
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Fax | 866-341-7847
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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 | 561-758-9775
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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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