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General NPI Number Information
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NPI Number | 1518944024
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Entity Type | Individual
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Provider Name | DONNA L BLOCK M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 6545 FRANCE AVE S SUITE 490
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City | EDINA
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State | MN
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Zip | 55435-2131
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Country | US
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Telephone | 952-922-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 600 RIVER ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-2576
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Country | US
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Telephone | 612-339-2445
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 32005
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License Number State | MN
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