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General NPI Number Information
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NPI Number | 1073478541
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Entity Type | Individual
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Provider Name | BLAKE JOHN JOYCE DNP, CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2823 FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93721-1324
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Country | US
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Telephone | 559-459-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5532 W COPLEN FARMS RD
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City | LAVEEN
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State | AZ
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Zip | 85339-3150
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Country | US
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Telephone | 951-205-9796
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Fax |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 95209485
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License Number State | CA
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