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General NPI Number Information
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NPI Number | 1457675290
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Entity Type | Individual
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Provider Name | FABIOLA BALMIR M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 138 N 2ND ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-4458
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Country | US
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Telephone | 612-230-4090
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Fax |
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Provider Business Mailing Address
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Address Line | 333 S DESPLAINES ST STE 201
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City | CHICAGO
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State | IL
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Zip | 60661-5514
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Country | US
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Telephone |
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 2712-320
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MD61409232
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MD451430
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | CDR.0002483
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 35C.000495
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 71297
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License Number State | MN
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