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General NPI Number Information
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NPI Number | 1821444662
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Entity Type | Organization
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Legal Business Name | BLISS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 8670 W CHEYENNE AVE SUITE 200
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City | LAS VEGAS
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State | NV
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Zip | 89129-7456
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Country | US
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Telephone | 702-430-4721
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 530001
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City | HENDERSON
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State | NV
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Zip | 89053-0001
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Country | US
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Telephone | 702-303-0696
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. ADAM OCTAVIO BUSTIOS
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Credential |
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Telephone | 702-303-0696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 8556-PCS-0
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License Number State | NV
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