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General NPI Number Information
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NPI Number | 1184009573
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Entity Type | Individual
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Provider Name | NADIR BALUCH MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 110 E. SAVANNAH AVE BLDG B STE 203
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City | MCALLEN
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State | TX
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Zip | 78503
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Country | US
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Telephone | 956-686-7611
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Fax | 956-618-3164
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Provider Business Mailing Address
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Address Line | 2330 JACK WARNER PKWY UNIT B-109B
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1069
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Country | US
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Telephone | 312-593-7875
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.38019
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RL13644
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S7386
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License Number State | TX
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