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General NPI Number Information
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NPI Number | 1497746010
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Entity Type | Individual
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Provider Name | PATRICK J BLOMBERG MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 99 LINCOLN ST 2ND FLOOR
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6327
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Country | US
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Telephone | 508-875-4811
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Fax | 508-875-5942
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Provider Business Mailing Address
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Address Line | 99 LINCOLN ST 2ND FLOOR
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6327
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Country | US
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Telephone | 508-875-4811
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Fax | 508-875-5942
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 154514
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 154514
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License Number State | MA
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