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General NPI Number Information
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NPI Number | 1598656282
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Entity Type | Organization
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Legal Business Name | BLISSFUL SUPPORTING SERVICES LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 5643 NORTHPORT DR
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City | BROOKLYN CENTER
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State | MN
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Zip | 55429-3016
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Country | US
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Telephone | 651-283-4764
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Fax | 651-283-4764
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Provider Business Mailing Address
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Address Line | 5643 NORTHPORT DR
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City | BROOKLYN CENTER
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State | MN
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Zip | 55429-3016
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Country | US
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Telephone | 651-283-4764
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Fax | 651-283-4764
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Authorized Official
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Title or Position | OWNER
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Name | ENITE E OGHENEKARO
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Credential |
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Telephone | 651-283-4764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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