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Individual
ROGER BLINDER
Active
Individual
ROGER BLINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76004
BLUE SHIELD
FL
01
—
CH7356
DEPARTMENT OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
04/11/2007
Last updated
10/18/2012
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