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General NPI Number Information
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NPI Number | 1710398128
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Entity Type | Individual
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Provider Name | ADAM CRAIG BIEDNY D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11885 E 12 MILE RD STE 100A
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City | WARREN
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State | MI
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Zip | 48093-3465
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Country | US
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Telephone | 586-576-1615
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Fax | 586-576-1628
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Provider Business Mailing Address
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Address Line | 19229 MACK AVE STE 24
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-2857
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Country | US
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Telephone | 313-884-5522
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Fax | 313-884-6054
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101021133
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 5101021133
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License Number State | MI
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