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General NPI Number Information
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NPI Number | 1063701951
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Entity Type | Individual
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Provider Name | NATHAN RAY BLECKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 75 ARCH ST STE 406
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City | AKRON
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State | OH
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Zip | 44304-1433
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Country | US
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Telephone | 330-535-1536
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Fax | 330-379-5859
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Provider Business Mailing Address
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Address Line | 55 ARCH ST STE 2D
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City | AKRON
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State | OH
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Zip | 44304-1424
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Country | US
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Telephone | 330-535-1536
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Fax | 330-379-5859
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35131474
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License Number State | OH
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