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NPI Code Detail

MEDICARE: ALICIA CHRISTINA BIANCO

MEDICARE: ALICIA CHRISTINA BIANCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1104191550
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA CHRISTINA BIANCO
Provider Business Mailing Address
First Line : 845 N ARVADA
Second Line :
City : MESA
State : AZ
Zip : 85205-5466
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5358 E BASELINE RD
Second Line :
City : MESA
State : AZ
Zip : 85206-4716
Country : US
Telephone Number : 480-630-3005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2012
Last Update Date : 03/19/2012

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Directions to “ ALICIA CHRISTINA BIANCO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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