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General NPI Number Information
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NPI Number | 1235826009
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Entity Type | Individual
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Provider Name | ALEXANDER F BLUM PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 4005 E 8TH PL
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City | DENVER
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State | CO
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Zip | 80220-3942
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Country | US
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Telephone | 303-749-3969
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Fax |
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Provider Business Mailing Address
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Address Line | 9123 E MISSISSIPPI AVE E1 BLDG 13 UNIT 302
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City | DENVER
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State | CO
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Zip | 80247
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHA.0024850
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License Number State | CO
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