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General NPI Number Information
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NPI Number | 1669597340
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Entity Type | Individual
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Provider Name | PETER E BLAZEK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 2839 83RD ST
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City | DARIEN
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State | IL
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Zip | 60561-5612
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Country | US
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Telephone | 630-985-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 812 ROCKBRIDGE DR
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City | NAPERVILLE
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State | IL
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Zip | 60540-8265
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Country | US
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Telephone | 630-985-5000
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19-16456
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License Number State | IL
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