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General NPI Number Information
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NPI Number | 1093811481
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Entity Type | Individual
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Provider Name | ARTHUR F. BLAKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 50 E MAIN ST
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City | HARRINGTON
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State | ME
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Zip | 04643-3043
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Country | US
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Telephone | 207-483-4502
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Fax | 207-483-2525
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Provider Business Mailing Address
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Address Line | 118 MOOSEHEAD TRL STE 5
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City | NEWPORT
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State | ME
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Zip | 04953-4056
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Country | US
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Telephone | 207-368-5189
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Fax | 207-368-4213
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TD081128
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 018331
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 019339
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD18331
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License Number State | ME
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