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General NPI Number Information
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NPI Number | 1033114103
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Entity Type | Organization
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Legal Business Name | NANCY A BALIN MD F A C S
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 269 LOCUST ST
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City | NORTHAMPTON
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State | MA
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Zip | 01062-2003
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Country | US
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Telephone | 413-584-6666
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Fax | 413-584-7428
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Provider Business Mailing Address
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Address Line | 269 LOCUST ST
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City | NORTHAMPTON
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State | MA
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Zip | 01062-2003
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Country | US
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Telephone | 413-584-6666
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Fax | 413-584-7428
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Authorized Official
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Title or Position | OWNER
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Name | NANCY A. BALIN
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Credential | M.D., F.A.C.S.
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Telephone | 413-584-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 56843
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License Number State | MA
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