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General NPI Number Information
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NPI Number | 1417754227
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Entity Type | Organization
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Legal Business Name | BLISSFUL BALANCE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1222 SE 47TH ST STE 214
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City | CAPE CORAL
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State | FL
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Zip | 33904-9679
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Country | US
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Telephone | 239-747-7129
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Fax |
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Provider Business Mailing Address
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Address Line | 1603 NW 1ST TER
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City | CAPE CORAL
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State | FL
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Zip | 33993-7622
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAYANIS GINARTE FERREIRO
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Credential | APRN
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Telephone | 239-980-1231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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