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General NPI Number Information
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NPI Number | 1093104473
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Entity Type | Organization
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Legal Business Name | KEITH M. BLECHMAN, M.D., P.C.
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 800A 5TH AVENUE SUITE 300A
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City | NEW YORK
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State | NY
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Zip | 10065-7215
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Country | US
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Telephone | 212-427-3982
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Fax | 604-282-3037
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Provider Business Mailing Address
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Address Line | 800A 5TH AVENUE SUITE 300A
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City | NEW YORK
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State | NY
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Zip | 10065-7215
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Country | US
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Telephone | 212-427-3982
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Fax | 604-282-3037
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Authorized Official
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Title or Position | OWNER
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Name | KEITH M. BLECHMAN
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Credential | M.D.
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Telephone | 646-573-8091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 60251389
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License Number State | NY
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