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General NPI Number Information
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NPI Number | 1457268971
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Entity Type | Individual
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Provider Name | NATHAN RAY BLEVINS
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Gender | Male
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 1402 4TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-2403
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Country | US
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Telephone | 606-385-0369
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Fax |
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Provider Business Mailing Address
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Address Line | 901 NEW BUCKLEY RD
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City | ASHLAND
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State | KY
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Zip | 41102-8828
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Country | US
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Telephone | 606-385-0369
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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 | 146E00000X
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Taxonomy Name | Community Paramedic
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License Number | 1621-P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | H9A87D3E6
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | H9A8D3E6
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License Number State |
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