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Individual
DR. ARTHUR F. BLAKE
Active
Individual
DR. ARTHUR F. BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
018331
ME
207Q00000X
Family Medicine Physician
019339
CT
207Q00000X
Family Medicine Physician
Primary
MD18331
ME
207Q00000X
Family Medicine Physician
TD081128
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000890101
MEDICARE PTAN
ME
05
—
433381099
—
ME
Enumeration date
09/15/2006
Last updated
07/21/2022
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