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General NPI Number Information
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NPI Number | 1508905464
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Entity Type | Individual
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Provider Name | MARGARETE ANITA BLUME DMD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 276 BANK ST
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City | SEYMOUR
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State | CT
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Zip | 06483-2700
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Country | US
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Telephone | 203-888-7944
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Fax | 203-888-5397
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Provider Business Mailing Address
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Address Line | 276 BANK ST
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City | SEYMOUR
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State | CT
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Zip | 06483-2700
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Country | US
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Telephone | 203-888-7944
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Fax | 203-888-5397
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 006578
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License Number State | CT
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