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General NPI Number Information
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NPI Number | 1942276944
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Entity Type | Individual
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Provider Name | STEPHANIE E. DUNKLE-BLATTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 75 HOSPITAL DR STE 310
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City | ATHENS
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State | OH
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Zip | 45701-2860
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Country | US
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Telephone | 740-594-6100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7527
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City | DUBLIN
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State | OH
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Zip | 43017-0727
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01066021A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 40576
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 01066021A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.121953
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License Number State | OH
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