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General NPI Number Information
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NPI Number | 1174714695
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Entity Type | Individual
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Provider Name | SAEED AASIM BALOCH MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 1900 10TH AVE SUITE 110
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City | COLUMBUS
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State | GA
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Zip | 31901-3600
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Country | US
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Telephone | 706-257-4500
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Fax | 706-257-4510
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Provider Business Mailing Address
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Address Line | 1900 10TH AVE SUITE 110
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City | COLUMBUS
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State | GA
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Zip | 31901-3600
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Country | US
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Telephone | 706-257-4500
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Fax | 706-257-4510
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD 28256
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 65214
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License Number State | GA
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