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General NPI Number Information
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NPI Number | 1598767378
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Entity Type | Individual
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Provider Name | GREGORY FRANKLIN BLAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3920 N UNION BLVD SUITE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4900
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Country | US
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Telephone | 719-634-0107
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Fax | 719-634-5832
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Provider Business Mailing Address
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Address Line | 3920 N UNION BLVD SUITE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4900
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Country | US
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Telephone | 719-634-0107
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Fax | 719-634-5832
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 33406
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License Number State | CO
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