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General NPI Number Information
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NPI Number | 1346199965
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Entity Type | Organization
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Legal Business Name | BLISS STAFFING AGENCY LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 8300 SKILLMAN ST APT 211
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City | DALLAS
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State | TX
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Zip | 75231-2008
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Country | US
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Telephone | 469-970-7607
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Fax | 469-970-7607
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Provider Business Mailing Address
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Address Line | 8300 SKILLMAN ST APT 211
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City | DALLAS
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State | TX
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Zip | 75231-2008
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Country | US
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Telephone | 469-970-7607
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Fax | 469-970-7607
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | IKENNA VICTOR EBEGBULEM
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Credential | N/A
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Telephone | 469-970-7607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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