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General NPI Number Information
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NPI Number | 1417550369
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Entity Type | Organization
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Legal Business Name | BOEHM ODORIZZI AND MAYS LLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 3375 GLENARM RD LOT 26
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-9729
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Country | US
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Telephone | 719-310-2394
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Fax |
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Provider Business Mailing Address
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Address Line | 3375 GLENARM RD LOT 26
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-9729
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Country | US
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Telephone | 719-310-2394
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA BEAM
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Credential | DC, FNP-BC
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Telephone | 719-310-2394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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