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General NPI Number Information
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NPI Number | 1679590178
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Entity Type | Individual
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Provider Name | ROBERT CHRISTOPHER BIANCO MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 14 OFFICE PARK DRIVE SUITE 1
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City | PALM COAST
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State | FL
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Zip | 32137
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Country | US
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Telephone | 386-446-2305
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Fax | 386-446-1043
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Provider Business Mailing Address
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Address Line | 14 OFFICE PARK DR SUITE 1
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City | PALM COAST
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State | FL
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Zip | 32137-3864
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Country | US
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Telephone | 386-446-2305
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Fax | 386-446-1043
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME0057906
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License Number State | FL
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