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General NPI Number Information
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NPI Number | 1356411599
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Entity Type | Individual
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Provider Name | EDWARD RILEY BLOCKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 97 SEA ISLAND PKWY
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City | BEAUFORT
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State | SC
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Zip | 29907-4400
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Country | US
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Telephone | 843-682-7480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 125
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City | SAINT HELENA ISLAND
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State | SC
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Zip | 29920-0125
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 17331
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License Number State | SC
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