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General NPI Number Information
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NPI Number | 1629248778
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Entity Type | Organization
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Legal Business Name | ANTHONY J. BIANCHI DPM P.C.
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 3566 CONNIE LN
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City | FORT GRATIOT
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State | MI
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Zip | 48059-4103
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Country | US
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Telephone | 810-824-1376
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Fax |
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Provider Business Mailing Address
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Address Line | 3566 CONNIE LN
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City | FORT GRATIOT
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State | MI
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Zip | 48059-4103
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Country | US
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Telephone | 810-824-1376
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY J BIANCHI
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Credential | DPM
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Telephone | 810-824-1376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 5901001442
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5901001442
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 5901001442
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License Number State | MI
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