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General NPI Number Information
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NPI Number | 1952332272
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Entity Type | Individual
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Provider Name | MADELEINE S BLANCHER MD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 6321 PICCADILLY SQ DRIVE SUITE A
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City | MOBILE
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State | AL
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Zip | 36609-5305
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Country | US
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Telephone | 251-342-8900
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Fax | 251-342-2333
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Provider Business Mailing Address
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Address Line | PO BOX 91899
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City | MOBILE
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State | AL
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Zip | 36691-1899
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Country | US
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Telephone | 251-342-8900
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Fax | 251-342-2333
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4513
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License Number State | AL
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