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General NPI Number Information
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NPI Number | 1952099020
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Entity Type | Organization
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Legal Business Name | BLISS BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 11027 S PIKES PEAK DR SUITE 202
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City | PARKER
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State | CO
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Zip | 80138
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Country | US
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Telephone | 720-340-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 10940 S PARKER RD STE 660
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City | PARKER
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State | CO
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Zip | 80134-7440
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Country | US
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Telephone | 720-340-7222
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MRS. KHATERA JAHAN
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Credential | NP
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Telephone | 951-858-6688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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