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General NPI Number Information
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NPI Number | 1720424443
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Entity Type | Individual
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Provider Name | KYLE EDWARD BLAU DDS
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Gender | Male
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 301 W MAGNETIC ST
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City | MARQUETTE
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State | MI
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Zip | 49855-2708
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Country | US
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Telephone | 906-228-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 10131 EMMA DRIVE
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City | GREENVILLE
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State | MI
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Zip | 48326
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Country | US
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Telephone | 906-280-7987
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901020903
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License Number State | MI
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