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General NPI Number Information
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NPI Number | 1316355282
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Entity Type | Individual
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Provider Name | SASHA JAN BLASKOVICH
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Gender | Male
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1402 E SUNSET DR
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City | BELLINGHAM
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State | WA
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Zip | 98226-5635
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Country | US
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Telephone | 360-318-9928
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Fax | 360-583-9651
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Provider Business Mailing Address
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Address Line | PO BOX 748
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City | LYNDEN
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State | WA
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Zip | 98264-0748
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Country | US
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Telephone | 360-318-9928
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH60353852
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License Number State | WA
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