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General NPI Number Information
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NPI Number | 1073158721
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Entity Type | Individual
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Provider Name | ADAM D BLISS NP
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Gender | Male
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Dates
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Enumeration Date | 11/16/2019
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST STE 2508
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-5000
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Fax | 719-365-8445
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2417
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APN.1000603-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2319678
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License Number State | MA
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