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General NPI Number Information
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NPI Number | 1578011474
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Entity Type | Organization
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Legal Business Name | HANS BLAAKMAN DPM LLC
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 269 NORTH GROVE MEDICAL DRIVE
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City | SPARTANBURG
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State | SC
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Zip | 29303
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Country | US
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Telephone | 864-586-3131
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Fax | 864-586-3200
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Provider Business Mailing Address
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Address Line | 269 N GROVE MEDICAL PARK DR
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City | SPARTANBURG
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State | SC
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Zip | 29303-4222
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Country | US
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Telephone | 864-586-3131
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Fax | 864-586-3200
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Authorized Official
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Title or Position | AO
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Name | HANS BLAAKMAN
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Credential | DPM
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Telephone | 864-586-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | NC
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