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General NPI Number Information
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NPI Number | 1821733999
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Entity Type | Individual
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Provider Name | IAN CARLO BIACO CADIZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 311 W I ST # B
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City | LOS BANOS
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State | CA
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Zip | 93635-3479
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Country | US
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Telephone | 209-826-2222
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Fax | 209-826-2599
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Provider Business Mailing Address
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Address Line | 1287 ABERDEEN AVE
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City | WINNIPEG
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State | MANITOBA
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Zip | R2X 1T7
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Country | CA
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A201310
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License Number State | CA
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