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General NPI Number Information
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NPI Number | 1356650600
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Entity Type | Organization
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Legal Business Name | NANCY OYER-BLUM
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 1412 N. WAHSATCH AVE.
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907
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Country | US
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Telephone | 719-471-8190
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 N WAHSATCH AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-7638
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Country | US
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Telephone | 719-471-8190
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Fax |
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Authorized Official
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Title or Position | REHAB DIRECTOR
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Name | NANCY J OYER-BLUM
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Credential |
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Telephone | 719-471-8190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 2339
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License Number State | CO
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