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General NPI Number Information
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NPI Number | 1235196098
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Entity Type | Individual
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Provider Name | DARRYL JAY BLINSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 7775 SW 87TH AVE SUITE 120
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-598-0091
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Fax | 305-598-0093
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Provider Business Mailing Address
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Address Line | 6330 MANOR LN STE 100
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4953
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Country | US
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Telephone | 305-598-0091
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Fax | 305-598-0093
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME31448
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License Number State | FL
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