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General NPI Number Information
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NPI Number | 1205153160
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Entity Type | Organization
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Legal Business Name | DR. ADINA M. BLUM & ASSOCIATES
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 4012 EASTON STATION
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City | COLUMBUS
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State | OH
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Zip | 43219
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Country | US
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Telephone | 614-476-2586
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Fax | 614-478-1862
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Provider Business Mailing Address
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Address Line | 4012 EASTON STATION
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City | COLUMBUS
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State | OH
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Zip | 43219
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Country | US
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Telephone | 614-476-2586
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Fax | 614-478-1862
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. ADINA MICHELE BLUM
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Credential | O.D.
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Telephone | 614-476-2586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OH5290
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License Number State | OH
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