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General NPI Number Information
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NPI Number | 1639286545
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Entity Type | Individual
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Provider Name | RICHARD JOSEPH BIANSKI RN, OPA-C
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 6363 FRANCE AVE S SUITE 404
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City | EDINA
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State | MN
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Zip | 55435-2129
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Country | US
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Telephone | 952-927-4525
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Fax | 952-927-7554
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Provider Business Mailing Address
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Address Line | 6465 WAYZATA BLVD SUITE 900
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-1728
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Country | US
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Telephone | 952-512-5600
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Fax | 952-512-5650
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | R1077692
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License Number State | MN
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