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General NPI Number Information
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NPI Number | 1831245869
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Entity Type | Individual
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Provider Name | MICHAELA M BIANCARDI PT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1595 S CALUMET RD STE 3
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City | CHESTERTON
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State | IN
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Zip | 46304-2389
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Country | US
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Telephone | 192-764-4888
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Fax | 219-898-4258
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Provider Business Mailing Address
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Address Line | 6504 E 129TH AVE
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City | CROWN POINT
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State | IN
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Zip | 46307-9087
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Country | US
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Telephone | 219-662-7654
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Fax | 219-662-2136
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05007062A
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License Number State | IN
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