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General NPI Number Information
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NPI Number | 1508018607
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Entity Type | Organization
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Legal Business Name | DAVID BLOCH OD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 2814 ROOSEVELT ST
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City | CARLSBAD
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State | CA
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Zip | 92008-1619
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Country | US
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Telephone | 760-730-3733
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Fax | 760-730-3785
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Provider Business Mailing Address
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Address Line | 2814 ROOSEVELT ST
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City | CARLSBAD
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State | CA
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Zip | 92008-1619
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Country | US
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Telephone | 760-500-3300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID ALEXANDER BLOCH
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Credential | OD
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Telephone | 760-500-3300
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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 | 9207T
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License Number State | CA
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