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General NPI Number Information
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NPI Number | 1740045939
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Entity Type | Organization
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Legal Business Name | BLISSFUL DAYS PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 12331 QUILT PATCH LN
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City | BOWIE
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State | MD
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Zip | 20720-4358
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Country | US
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Telephone | 707-266-4997
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Fax |
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Provider Business Mailing Address
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Address Line | 12331 QUILT PATCH LN
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City | BOWIE
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State | MD
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Zip | 20720-4358
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Country | US
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Telephone | 707-266-4997
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NNEKA WOGU
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Credential |
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Telephone | 707-266-4997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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