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General NPI Number Information
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NPI Number | 1598392011
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Entity Type | Individual
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Provider Name | BLAKE VARGHESE
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 5403 NORMANDY ST
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City | WESTON
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State | WI
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Zip | 54476-2217
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Country | US
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Telephone | 715-241-8100
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Fax | 715-241-8102
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Provider Business Mailing Address
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Address Line | 5403 NORMANDY ST
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City | WESTON
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State | WI
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Zip | 54476-2217
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Country | US
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Telephone |
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Fax | 715-241-8102
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1300-25
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License Number State | WI
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