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General NPI Number Information
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NPI Number | 1518542042
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Entity Type | Individual
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Provider Name | DIEGO A BLANCO PT
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Gender | Male
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 7500 NW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2915
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Country | US
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Telephone | 786-542-5244
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 SW 8TH ST STE 203
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City | MIAMI
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State | FL
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Zip | 33144-4400
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Country | US
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Telephone | 813-458-0061
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT36719
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License Number State | FL
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