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General NPI Number Information
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NPI Number | 1982083713
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Entity Type | Individual
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Provider Name | BLAIR CUSHING DO
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Gender | Female
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 214 N 16TH ST STE 204
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City | MCALLEN
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State | TX
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Zip | 78501-7982
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Country | US
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Telephone | 956-833-1466
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Fax | 956-306-6170
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Provider Business Mailing Address
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Address Line | PO BOX 1548
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City | SEASIDE
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State | CA
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Zip | 93955-1548
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Country | US
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Telephone |
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Fax | 956-306-6170
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO2023-1016
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R9740
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A15275
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.161757
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022-03356
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License Number State | NC
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