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General NPI Number Information
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NPI Number | 1437181781
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Entity Type | Organization
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Legal Business Name | DR ROGER A HULME OD PC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2677 N TAFT AVE
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-667-5511
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Fax | 970-292-5213
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Provider Business Mailing Address
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Address Line | 3850 GRANT AVE STE 130
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City | LOVELAND
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State | CO
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Zip | 80538-8431
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Country | US
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Telephone | 970-667-5511
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Fax | 970-292-5213
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROGER A HULME
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Credential | OD
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Telephone | 970-667-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1220
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License Number State | CO
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