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General NPI Number Information
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NPI Number | 1942524020
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Entity Type | Individual
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Provider Name | ANAMARIA BIANCA BONDICI MD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 310 LAFAYETTE AVE SE STE 410
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4693
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Country | US
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Telephone | 616-685-8200
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Fax | 616-685-8202
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Provider Business Mailing Address
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Address Line | PO BOX 1848
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City | MUSKEGON
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State | MI
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Zip | 49443-1848
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Country | US
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Telephone | 616-685-8200
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Fax | 616-685-8201
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301108845
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.099977
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 01076222A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 4301108845
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License Number State | MI
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