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General NPI Number Information
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NPI Number | 1184031361
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Entity Type | Individual
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Provider Name | SUMMER NICHOLE BLAKE LMT
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Gender | Female
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Dates
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Enumeration Date | 07/19/2014
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Last Update Date | 07/19/2014
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Provider Practice Location Address
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Address Line | 1545 OGDEN RD
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City | MONTROSE
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State | CO
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Zip | 81401-5683
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Country | US
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Telephone | 404-395-5026
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Fax |
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Provider Business Mailing Address
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Address Line | 216 N STOUGH AVE APARTMENT 1 A
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City | MONTROSE
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State | CO
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Zip | 81401-3770
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Country | US
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Telephone | 404-395-5026
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT0016519
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License Number State | CO
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