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General NPI Number Information
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NPI Number | 1558691642
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Entity Type | Individual
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Provider Name | LISA ELAINE BLAND RN, MSN/MHA, HCI
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Gender | Female
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 2550 S PARKER RD
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City | AURORA
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State | CO
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Zip | 80014-1622
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Country | US
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Telephone | 303-636-3006
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Fax |
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Provider Business Mailing Address
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Address Line | 42006 OAKWOOD ST
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City | ELIZABETH
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State | CO
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Zip | 80107-9100
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Country | US
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Telephone | 303-646-2864
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 112250
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License Number State | CO
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