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General NPI Number Information
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NPI Number | 1144488040
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Entity Type | Individual
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Provider Name | ISABEL M BALMASEDA LIC. AC., A.B.T.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 3 RANDOLPH ST
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City | CANTON
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State | MA
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Zip | 02021
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Country | US
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Telephone | 781-830-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 10 MATHER ST
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City | DORCHESTER CENTER
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State | MA
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Zip | 02124-2324
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Country | US
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Telephone | 617-288-9862
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 551
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License Number State | MA
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