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“General Practice Physician” (Gas City, IN)

Location: Gas City, IN
Taxonomy: General Practice Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1215559331 — JON KEVIN BLAKE MD
Practice Location Address:
925 E MAIN ST
GAS CITY IN
46933-1550
Practice Phone: 765-674-7889

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