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General NPI Number Information
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NPI Number | 1336006493
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Entity Type | Organization
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Legal Business Name | BRITTANY BLOCKMAN MD PC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1408 W HAYS ST
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City | BOISE
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State | ID
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Zip | 83702-5028
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Country | US
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Telephone | 208-391-3182
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 W STATE ST # 232
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City | BOISE
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State | ID
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Zip | 83702-3924
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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 | CEO/PRESIDENT
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Name | BRITTANY BLOCKMAN
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Credential | MD
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Telephone | 917-687-9759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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