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General NPI Number Information
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NPI Number | 1437366168
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Entity Type | Individual
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Provider Name | MARVIN B BLOSHINSKY MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9814 PALMA VISTA WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-3500
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Country | US
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Telephone | 561-883-2538
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Fax | 561-883-2538
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Provider Business Mailing Address
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Address Line | 9814 PALMA VISTA WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-3500
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Country | US
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Telephone | 561-883-2538
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Fax | 561-883-2538
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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 | 207VH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
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License Number | 094401
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License Number State | NY
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