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General NPI Number Information
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NPI Number | 1770981516
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Entity Type | Individual
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Provider Name | JENNIFER BIANCHINI MS, RD, CDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 119 S WESTERN AVE STE 213
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City | CHICAGO
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State | IL
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Zip | 60612-4643
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Country | US
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Telephone | 631-704-0751
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PENELOPE LN
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City | HUNTINGTON
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State | NY
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Zip | 11743-5910
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Country | US
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Telephone | 888-383-5616
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 007934-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1049759
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND7648
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License Number State | FL
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