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General NPI Number Information
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NPI Number | 1508128752
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Entity Type | Individual
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Provider Name | MARIA QUINTANA BLANCO CBHCMS
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Gender | Female
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2311 10TH AVE N STE 3
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City | LAKE WORTH
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State | FL
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Zip | 33461-6605
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Country | US
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Telephone | 561-899-3017
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Fax | 561-429-2622
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Provider Business Mailing Address
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Address Line | 5414 GARDEN AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33405-3516
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Country | US
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Telephone | 561-227-8844
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | FL
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