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General NPI Number Information
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NPI Number | 1679381677
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Entity Type | Organization
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Legal Business Name | BLISS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 12/21/2024
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 6 KILMER RD # 1243
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City | EDISON
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State | NJ
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Zip | 08817-2432
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Country | US
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Telephone | 732-631-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 7 VIOLET CT
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City | MONROE
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State | NJ
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Zip | 08831-1509
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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 | ZAID SIKA IDDRISU
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Credential | NP
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Telephone | 646-406-6497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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