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General NPI Number Information
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NPI Number | 1710540893
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Entity Type | Individual
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Provider Name | ISEL AMADO BLANCO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 11750 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33175-3530
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Country | US
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Telephone | 305-223-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MARYLAND FARMS STE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-5780
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Country | US
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Telephone | 615-346-8733
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Fax | 888-468-6603
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11039191
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License Number State | FL
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