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General NPI Number Information
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NPI Number | 1023163219
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Entity Type | Individual
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Provider Name | HOWARD BALICK M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 211 CENTRAL PARK W SUITE#1D
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City | NEW YORK
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State | NY
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Zip | 10024-6020
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Country | US
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Telephone | 212-877-3120
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Fax | 212-877-2511
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Provider Business Mailing Address
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Address Line | 301 W 57TH ST APT#16E
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City | NEW YORK
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State | NY
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Zip | 10019-3114
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Country | US
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Telephone | 212-489-4835
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 143754
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License Number State | NY
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