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General NPI Number Information
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NPI Number | 1295571867
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Entity Type | Individual
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Provider Name | MITCHELL BLOCK
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Gender | Male
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Dates
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Enumeration Date | 07/03/2024
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 600 N PICKAWAY ST RM B90
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1447
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Country | US
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Telephone | 404-208-6597
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Fax |
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Provider Business Mailing Address
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Address Line | 135 W 6TH ST
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-3841
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03444354
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License Number State | OH
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