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General NPI Number Information
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NPI Number | 1063519528
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Entity Type | Organization
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Legal Business Name | JOSEPH B BLANDA MD INC
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 2383 S MAIN ST STE D106
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City | AKRON
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State | OH
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Zip | 44319
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Country | US
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Telephone | 330-785-9356
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Fax | 330-785-9432
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Provider Business Mailing Address
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Address Line | 2383 S MAIN ST STE D106
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City | AKRON
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State | OH
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Zip | 44319
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Country | US
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Telephone | 330-785-9356
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Fax | 330-785-9432
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | JOSEPH B BLANDA
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Credential | MD
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Telephone | 330-785-9356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35053763B
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License Number State | OH
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