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General NPI Number Information
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NPI Number | 1922216423
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Entity Type | Organization
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Legal Business Name | ADVANCED CENTER FOR FOOT MEDICINE AND SURGERY,LLC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 57 NORTH ST SUITE 108
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City | DANBURY
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State | CT
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Zip | 06810-5660
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Country | US
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Telephone | 203-743-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 57 NORTH ST SUITE 108
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City | DANBURY
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State | CT
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Zip | 06810-5660
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Country | US
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Telephone | 203-791-0466
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOSEPH JOHN BIANCHINI
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Credential | DPM
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Telephone | 203-791-0466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 000580
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License Number State | CT
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