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General NPI Number Information
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NPI Number | 1376496372
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Entity Type | Organization
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Legal Business Name | BLANC PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 9208 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2107
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Country | US
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Telephone | 917-891-3177
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Fax |
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Provider Business Mailing Address
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Address Line | 5118 CODWISE PL
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City | ELMHURST
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State | NY
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Zip | 11373-4149
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Country | US
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Telephone | 917-891-3177
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Fax |
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Authorized Official
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Title or Position | PT
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Name | JINJOON YANG
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Credential |
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Telephone | 917-891-3177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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