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General NPI Number Information
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NPI Number | 1336834134
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Entity Type | Individual
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Provider Name | CARLITA ANDREA BLANCO CR
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Gender | Female
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 1460 BROADWAY
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City | NEW
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State | NY
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Zip | 10018
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Country | US
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Telephone | 646-504-3291
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Fax |
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Provider Business Mailing Address
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Address Line | 228 E 135TH ST
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City | BRONX
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State | NY
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Zip | 10451-6433
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Country | US
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Telephone | 646-504-3291
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Fax |
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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 | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 000856816
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | 000856816
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | 757397735
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 547-897-1287
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License Number State | GU
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Taxonomy #14
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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