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NPI Code Detail

MEDICARE: ABAIGEAL BLAKE

MEDICARE:   ABAIGEAL  BLAKE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1912847583
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABAIGEAL BLAKE
Provider Business Mailing Address
First Line : 400 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4353
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4353
Country : US
Telephone Number : 805-682-7111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ ABAIGEAL BLAKE ” Practice Location

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