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General NPI Number Information
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NPI Number | 1417844010
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Entity Type | Organization
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Legal Business Name | BALANCE HEALTH FAMILY HEALTH NPS PLLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 50 AUERT AVE STE 3
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City | UTICA
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State | NY
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Zip | 13502-2326
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Country | US
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Telephone | 315-316-0931
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Fax |
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Provider Business Mailing Address
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Address Line | 50 AUERT AVE STE 3
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City | UTICA
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State | NY
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Zip | 13502-2326
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Country | US
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Telephone | 315-316-0931
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Fax | 315-300-7374
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Authorized Official
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Title or Position | FNP-C
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Name | FAHRETA ODOBASIC
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Credential |
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Telephone | 315-316-0931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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