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General NPI Number Information
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NPI Number | 1710965140
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Entity Type | Individual
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Provider Name | DAVID ALEXANDER BLOCH OD
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 2814 ROOSEVELT ST
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City | CARLSBAD
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State | CA
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Zip | 92008-1619
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Country | US
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Telephone | 760-730-3733
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Fax | 760-730-3785
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Provider Business Mailing Address
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Address Line | 2814 ROOSEVELT ST
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City | CARLSBAD
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State | CA
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Zip | 92008-1619
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Country | US
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Telephone | 760-730-3733
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Fax | 760-730-3785
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9207T
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License Number State | CA
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