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General NPI Number Information
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NPI Number | 1013706431
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Entity Type | Organization
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Legal Business Name | BLOOM THERAPY COLLECTIVE
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 6855 W 55TH PL
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City | ARVADA
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State | CO
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Zip | 80002-3109
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Country | US
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Telephone | 208-946-0164
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Fax |
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Provider Business Mailing Address
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Address Line | 6855 W 55TH PL
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City | ARVADA
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State | CO
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Zip | 80002-3109
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Country | US
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Telephone | 208-946-0164
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER, OCCUPATIONAL THERAPIST
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Name | HANNAH PEREIRA
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Credential | OTD, OTR/L
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Telephone | 208-946-0164
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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