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Individual
MR. RONALD BLAKE
Active
Individual
MR. RONALD BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A2000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012AG
BCBS
NC
05
—
7492673
—
NC
Enumeration date
10/03/2006
Last updated
07/08/2007
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