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General NPI Number Information
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NPI Number | 1861124257
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Entity Type | Individual
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Provider Name | JOSEPH BLEVINS OD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2022
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Last Update Date | 06/26/2022
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Provider Practice Location Address
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Address Line | 907 SCHNEIDER ST SE
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City | NORTH CANTON
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State | OH
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Zip | 44720-3774
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Country | US
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Telephone | 330-499-1494
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Fax |
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Provider Business Mailing Address
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Address Line | 369 WHITTIER AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-2258
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.007083
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License Number State | OH
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