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General NPI Number Information
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NPI Number | 1467953075
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Entity Type | Individual
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Provider Name | ANDRES MANUEL BIAGGI HERNANDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 3530 S VAL VISTA DR STE C202
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City | GILBERT
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State | AZ
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Zip | 85297-7318
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Country | US
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Telephone | 480-633-6868
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Fax | 480-633-6996
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Provider Business Mailing Address
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Address Line | PO BOX 748860
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City | ATLANTA
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State | GA
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Zip | 30374-8860
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 69622
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 14668-I
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License Number State | PR
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