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General NPI Number Information
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NPI Number | 1689678492
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Entity Type | Individual
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Provider Name | JOSEPH J BIANCHINI D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 57 NORTH ST SUITE 108
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City | DANBURY
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State | CT
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Zip | 06810-5660
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Country | US
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Telephone | 203-791-0466
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Fax | 860-791-2001
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Provider Business Mailing Address
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Address Line | PO BOX 259
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City | SOUTHBURY
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State | CT
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Zip | 06488-0259
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Country | US
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Telephone | 203-791-0466
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Fax | 203-791-2001
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 000580
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License Number State | CT
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