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General NPI Number Information
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NPI Number | 1659711901
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Entity Type | Individual
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Provider Name | ERIC BLUML D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 601 S US HIGHWAY 169
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City | SMITHVILLE
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State | MO
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Zip | 64089-9317
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Country | US
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Telephone | 816-532-3999
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Fax | 816-532-4465
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Provider Business Mailing Address
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Address Line | 901 E. 104TH ST. MAILSTOP 400N
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City | KANSAS CITY
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State | MO
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Zip | 64131
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Country | US
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Telephone | 816-502-7104
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Fax | 816-932-9670
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2016016330
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TL.0004837
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License Number State | CO
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