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General NPI Number Information
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NPI Number | 1487867453
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Entity Type | Individual
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Provider Name | ERICA BLEHL O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 164 E ROUTE 59
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City | NANUET
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State | NY
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Zip | 10954-2910
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Country | US
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Telephone | 845-623-8074
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Fax | 845-623-4028
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Provider Business Mailing Address
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Address Line | 553 HAGUE CT
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City | ORADELL
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State | NJ
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Zip | 07649-1309
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Country | US
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Telephone | 201-265-2067
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV005709
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License Number State | NY
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