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General NPI Number Information
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NPI Number | 1003788829
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Entity Type | Organization
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Legal Business Name | BLYTHE OASIS COMMUNITY INC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 321 W HOBSONWAY
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City | BLYTHE
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State | CA
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Zip | 92225-1651
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Country | US
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Telephone | 760-660-4790
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Fax | 866-554-1794
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Provider Business Mailing Address
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Address Line | 321 W HOBSONWAY
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City | BLYTHE
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State | CA
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Zip | 92225-1651
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Country | US
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Telephone | 760-660-4790
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Fax | 866-554-1794
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Authorized Official
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Title or Position | OFFICE MANAGER/OWNER
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Name | KIRAN MURTHY
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Credential |
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Telephone | 760-660-4790
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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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