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General NPI Number Information
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NPI Number | 1841463791
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Entity Type | Organization
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Legal Business Name | DR WENDY BIAGIOTTI PHYSICIAN P.C.
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 3101 EAST TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10461-5705
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Country | US
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Telephone | 718-863-7925
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Fax | 718-863-8208
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Provider Business Mailing Address
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Address Line | PO BOX 4389
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City | STAMFORD
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State | CT
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Zip | 06907-9998
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Country | US
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Telephone | 718-863-7925
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Fax | 718-863-8208
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Authorized Official
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Title or Position | OWNER
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Name | DR. WENDY BIAGIOTTI
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Credential | M.D.
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Telephone | 718-863-7925
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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 | 197454
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License Number State | NY
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