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NPI Code Detail

MEDICARE: MS. JULIE BLAIR M.N.S. CCC-SLP

MEDICARE:  MS. JULIE  BLAIR  M.N.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447386701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE BLAIR M.N.S. CCC-SLP
Provider Business Mailing Address
First Line : 1735 HILLSIDE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-1966
Country : US
Telephone Number : 970-420-5668
Fax Number :
Provider Business Practice Location Address
First Line : 1735 HILLSIDE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-1966
Country : US
Telephone Number : 970-420-5668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/09/2007

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