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General NPI Number Information
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NPI Number | 1447652714
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Entity Type | Individual
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Provider Name | ANNE A. BIANCAMANO RDH, BSDH
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Gender | Female
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 350 BARBOUR ST
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City | HARTFORD
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State | CT
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Zip | 06120-1002
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Country | US
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Telephone | 860-695-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 56 HILLDALE RD
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City | WEST HARTFORD
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State | CT
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Zip | 06117-1411
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Country | US
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Telephone | 860-231-0085
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Fax | 860-231-0085
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 2782
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License Number State | CT
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