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General NPI Number Information
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NPI Number | 1730747981
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Entity Type | Individual
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Provider Name | CLAIRE BLUMER
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Gender | Female
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 606 1ST ST
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City | CENTRALIA
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State | KS
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Zip | 66415-9637
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Country | US
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Telephone | 785-857-3334
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Fax | 785-857-3397
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Provider Business Mailing Address
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Address Line | 801 ALSTON ST
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City | MARYSVILLE
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State | KS
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Zip | 66508-1542
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Country | US
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Telephone | 785-447-9332
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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