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General NPI Number Information
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NPI Number | 1750582441
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Entity Type | Individual
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Provider Name | TODD MICHAEL BIANCHINO M.A.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 31A WORKSHOP RD
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City | SOUTH YARMOUTH
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State | MA
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Zip | 02664-1210
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Country | US
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Telephone | 855-862-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 60 RUSSELL ST APT W
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City | FALL RIVER
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State | MA
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Zip | 02721-5106
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Country | US
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Telephone | 401-301-9614
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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