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General NPI Number Information
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NPI Number | 1356289805
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Entity Type | Organization
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Legal Business Name | BLAIN WELLNESS INC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 1651 W 37TH ST STE 308
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City | HIALEAH
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State | FL
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Zip | 33012-4692
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Country | US
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Telephone | 786-383-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 W 37TH ST STE 308
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City | HIALEAH
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State | FL
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Zip | 33012-4692
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SAMANTHA BLAIN-MAIZA
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Credential |
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Telephone | 786-383-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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