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General NPI Number Information
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NPI Number | 1811668080
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Entity Type | Individual
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Provider Name | JOSEPH FRANCIS OELERICH MT
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Gender | Male
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 13913 COUNTY ROAD 20
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City | FORT LUPTON
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State | CO
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Zip | 80621-9501
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Country | US
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Telephone | 303-704-9059
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E 88TH AVE APT F114
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City | THORNTON
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State | CO
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Zip | 80229-8409
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Country | US
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Telephone | 970-274-6177
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0012458
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License Number State | CO
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