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General NPI Number Information
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NPI Number | 1497287437
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Entity Type | Individual
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Provider Name | CHRISTINE BLANCO ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 2855 STIRLING RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6516
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Country | US
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Telephone | 954-981-1104
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 SW 8TH ST UNIT 505
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City | MIAMI
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State | FL
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Zip | 33135-3892
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Country | US
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Telephone | 786-564-6858
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9364847
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License Number State | FL
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