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General NPI Number Information
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NPI Number | 1538018734
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Entity Type | Organization
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Legal Business Name | BLUME FLEUR FLOWER
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 503 N MAIN ST STE 530
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City | PUEBLO
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State | CO
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Zip | 81003-3179
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Country | US
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Telephone | 719-334-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 10109 PALISADE RIDGE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1492
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Country | US
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Telephone | 719-334-1201
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CLINICAL PROVIDER
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Name | MELANIE F SANDOVAL
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Credential | PHD, PMHNP-BC
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Telephone | 719-334-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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