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NPI 1023599727

NPI 1023599727 : NORA E. BALON FNP-BC : BUFFALO, NY

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General NPI Number Information
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    NPI Number           |    1023599727
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    Entity Type          |    Individual 
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    Provider Name        |    NORA E. BALON FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/22/2018
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    Last Update Date     |    12/20/2024
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Provider Practice Location Address
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    Address Line         |    2950 ELMWOOD AVE 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14217-1304
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    Country              |    US
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    Telephone            |    716-447-6100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    53 TRUDY LN 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14227-1903
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    Country              |    US
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    Telephone            |    716-440-4978
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    343539
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    License Number State |    NY
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