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General NPI Number Information
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NPI Number | 1699963421
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Entity Type | Individual
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Provider Name | DULCE ISABEL BLANCO D.O
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Gender | Female
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 1228 S PINE ISLAND RD STE 320
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City | PLANTATION
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State | FL
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Zip | 33324-4583
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Country | US
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Telephone | 954-837-1430
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 198054
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City | ATLANTA
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State | GA
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Zip | 30384-8054
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Country | US
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Telephone | 786-594-6880
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS10900
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License Number State | FL
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