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Individual
MICHAEL BIANCO
Active
Individual
MICHAEL BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-012009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753210
MEDICARE GROUP
IL
01
—
CF2064
RAILROAD GROUP
IL
Enumeration date
12/29/2005
Last updated
05/28/2010
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