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General NPI Number Information
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NPI Number | 1396115804
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Entity Type | Individual
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Provider Name | VALENTINO JOHN BIANCO III D.O., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2015
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2460 S PARKVIEW LOOP STE 203
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City | YUMA
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State | AZ
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Zip | 85364-5358
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Country | US
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Telephone | 928-336-2619
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Fax | 928-336-2618
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Provider Business Mailing Address
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Address Line | 2400 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7127
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Country | US
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Telephone | 928-336-2400
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | OTO16786
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | OS021203
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 009854
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License Number State | AZ
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