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General NPI Number Information
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NPI Number | 1396252185
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Entity Type | Individual
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Provider Name | BLAKE ROBERT JOHNS DPT
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Gender | Male
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVENUE
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City | BETHESDA
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State | MD
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Zip | 20889-8402
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Country | US
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Telephone | 301-319-7707
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 25TH ST NW APT T4
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City | WASHINGTON
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State | DC
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Zip | 20037-1451
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Country | US
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Telephone | 913-626-6780
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305212685
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-05772
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2017037109
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License Number State | MO
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