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General NPI Number Information
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NPI Number | 1972632099
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Entity Type | Individual
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Provider Name | DEBRA LYNN BLECKER R.N.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7676 NEW HAMPSHIRE AVE #220A
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City | TAKOMA PARK
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State | MD
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Zip | 20912-7512
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Country | US
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Telephone | 240-751-2776
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Fax |
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Provider Business Mailing Address
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Address Line | 625 GRAND CHAMPION DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-5970
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Country | US
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Telephone | 301-330-0927
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R118364
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License Number State | MD
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