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General NPI Number Information
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NPI Number | 1033616107
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Entity Type | Organization
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Legal Business Name | DR. SCOTT W. BLUMER LLC
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 2819 AARONWOOD AVE. NW
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City | MASSILLON
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State | OH
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Zip | 44646-2371
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Country | US
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Telephone | 330-837-3559
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Fax | 330-837-3052
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Provider Business Mailing Address
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Address Line | 2819 AARONWOOD AVE. NW
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City | MASSILLON
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State | OH
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Zip | 44646-2371
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Country | US
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Telephone | 330-837-3559
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Fax | 330-837-3052
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SPRING R BEAULIEU
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Credential |
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Telephone | 330-312-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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