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Individual
BLAKE BITTON
Active
Individual
BLAKE BITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PHD, RDH
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363AM0700X
Medical Physician Assistant
60697705
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023378882
NPI
—
Enumeration date
05/25/2012
Last updated
01/07/2019
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