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General NPI Number Information
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NPI Number | 1801933163
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Entity Type | Individual
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Provider Name | RONALD E BLANTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | LOUIS STOKES CLEVELAND VA MEDICAL CENTER 10701 EAST BOULEVARD
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-791-3800
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Fax |
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Provider Business Mailing Address
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Address Line | WOLSTEIN RESEARCH BUILDING, W4133 2103 CORNELL ROAD
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City | CLEVELAND
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State | OH
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Zip | 44106-7286
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Country | US
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Telephone | 216-368-4814
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Fax | 216-368-4825
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35047704
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License Number State | OH
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