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General NPI Number Information
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NPI Number | 1477875342
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Entity Type | Individual
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Provider Name | HYACINTH BALAAN ENTERO M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 500 ROUTE 909
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City | VERONA
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State | PA
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Zip | 15147-3831
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Country | US
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Telephone | 412-212-3775
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Fax | 877-384-3106
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Provider Business Mailing Address
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Address Line | 500 ROUTE 909
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City | VERONA
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State | PA
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Zip | 15147-3831
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Country | US
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Telephone | 412-212-3775
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Fax | 877-384-3106
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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 | MD446681
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD446681
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License Number State | PA
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