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General NPI Number Information
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NPI Number | 1326606047
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Entity Type | Individual
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Provider Name | ANTHONY BALINGIT
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Gender | Male
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 1870 ALOMA AVENUE
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 76-375-8564
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Fax |
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Provider Business Mailing Address
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Address Line | 15 N FOREST AVE
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City | ORLANDO
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State | FL
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Zip | 32803-6239
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Country | US
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Telephone | 352-408-6997
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 29379
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License Number State | FL
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