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General NPI Number Information
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NPI Number | 1568573707
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Entity Type | Organization
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Legal Business Name | RICHARD M BLECHA, M.D., LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 6817 SOUTHPOINT PKWY SUITE 1802
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6282
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Country | US
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Telephone | 904-206-4141
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Fax | 904-647-2359
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Provider Business Mailing Address
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Address Line | 6817 SOUTHPOINT PKWY SUITE 1802
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6282
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Country | US
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Telephone | 904-206-4141
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Fax | 904-647-2359
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Authorized Official
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Title or Position | ORTHOPAEDIC SURGEON PRESIDENT
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Name | RICHARD MICHAEL BLECHA
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Credential | MD
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Telephone | 904-206-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME101434
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License Number State | FL
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