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General NPI Number Information
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NPI Number | 1366439176
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Entity Type | Individual
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Provider Name | ROBERT EARL BLAND JR. CRNA; NSPM-C
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 2500 HARBOR BLVD SHOREPOINT HEALTH PORT CHARLOTTE
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952
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Country | US
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Telephone | 941-766-4122
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Fax |
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Provider Business Mailing Address
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Address Line | 10501 FGCU BLVD S
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City | FORT MYERS
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State | FL
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Zip | 33965-6565
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Country | US
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Telephone | 239-745-4537
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 201403006CRNA
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 664195
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 201907877CRNA-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11013552
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License Number State | FL
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