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General NPI Number Information
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NPI Number | 1326236159
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Entity Type | Individual
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Provider Name | THOMAS F BLAICH CP
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Gender | Male
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 969 PACIFIC ST STE B
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City | MONTEREY
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State | CA
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Zip | 93940-4438
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Country | US
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Telephone | 831-649-5347
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Fax | 831-649-1509
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Provider Business Mailing Address
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Address Line | 969 PACIFIC ST STE B
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City | MONTEREY
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State | CA
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Zip | 93940-4438
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Country | US
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Telephone | 831-649-5347
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Fax | 831-649-1509
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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