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General NPI Number Information
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NPI Number | 1841771599
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL MEDICINE RESOURCESPC
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 1619 N GREENWOOD ST STE 208
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City | PUEBLO
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State | CO
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Zip | 81003-2656
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Country | US
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Telephone | 719-542-1615
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3427
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City | PUEBLO
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State | CO
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Zip | 81005-0427
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/EMPLOYEE PHYSICIAN
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Name | VELMA CAMPBELL
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Credential | MD
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Telephone | 719-542-1615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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