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General NPI Number Information
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NPI Number | 1760074082
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Entity Type | Individual
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Provider Name | GERAMY GARCIA BLANCO NPRN
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Gender | Male
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 8501 SW 124TH AVE STE 205A
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City | MIAMI
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State | FL
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Zip | 33183-4633
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Country | US
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Telephone | 786-803-8851
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Fax | 786-803-8861
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Provider Business Mailing Address
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Address Line | 16685 SW 80TH TER
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City | MIAMI
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State | FL
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Zip | 33193-5783
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Country | US
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Telephone | 786-818-1197
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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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 | 11013407
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License Number State | FL
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