Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blake Shore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215867841

Blake Shore is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1215867841
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 25, 2026
Last updated in NPPESMay 25, 2026
Certification dateMay 24, 2026

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