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General NPI Number Information
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NPI Number | 1285552810
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Entity Type | Organization
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Legal Business Name | JENNIFER BLANCO NP IN PSYCHIATRY PC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 134 BROADWAY FL 4
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City | BROOKLYN
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State | NY
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Zip | 11249-6233
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Country | US
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Telephone | 203-522-8127
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Fax | 203-872-1312
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Provider Business Mailing Address
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Address Line | 425 MAIN ST STE 209
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4511
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Country | US
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Telephone | 203-522-8127
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Fax | 203-872-1312
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER MARGARET BLANCO
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Credential | NP-P PMHNP -BC
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Telephone | 203-522-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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