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General NPI Number Information
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NPI Number | 1427563840
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Entity Type | Individual
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Provider Name | BLAKE EDWARD TRESSLER D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 158 W CARACAS AVE
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City | HERSHEY
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State | PA
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Zip | 17033-1510
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Country | US
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Telephone | 717-533-6100
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Fax | 717-534-1957
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Provider Business Mailing Address
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Address Line | 158 W CARACAS AVE
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City | HERSHEY
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State | PA
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Zip | 17033-1510
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Country | US
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Telephone | 717-533-6100
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Fax | 717-534-1957
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC011310
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License Number State | PA
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