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General NPI Number Information
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NPI Number | 1255595088
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Entity Type | Organization
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Legal Business Name | ROBERT W BLAIR DC INC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 14949 KINSMAN RD
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City | BURTON
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State | OH
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Zip | 44021
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Country | US
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Telephone | 440-834-0009
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Fax | 440-834-0017
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Provider Business Mailing Address
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Address Line | 14949 KINSMAN RD. P.O. BOX 182
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City | BURTON
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State | OH
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Zip | 44021-0182
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Country | US
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Telephone | 440-834-0009
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Fax | 440-834-0017
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT W BLAIR
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Credential | D.C.
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Telephone | 440-834-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 661
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License Number State | OH
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