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General NPI Number Information
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NPI Number | 1487014841
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Entity Type | Individual
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Provider Name | MATTHEW RAYMOND BLUMER CNP
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Gender | Male
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 220 S MAIN ST STE A
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City | BUTLER
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State | PA
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Zip | 16001-0806
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Country | US
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Telephone | 877-848-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 400 LINDSCOT LN
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City | WEXFORD
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State | PA
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Zip | 15090-9438
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CP001829
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP025368
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License Number State | PA
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