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General NPI Number Information
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NPI Number | 1487995809
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Entity Type | Individual
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Provider Name | CHARLES ANTHONY BALKUS RN
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Gender | Male
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 05/10/2026
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Provider Practice Location Address
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Address Line | 282 MAIN ST
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City | DANSVILLE
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State | NY
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Zip | 14437-9753
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Country | US
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Telephone | 585-335-4010
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Fax | 585-335-4001
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Provider Business Mailing Address
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Address Line | 77 STANLEY ST P.O. BOX 403
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City | MOUNT MORRIS
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State | NY
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Zip | 14510-1413
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Country | US
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Telephone | 585-658-4824
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 367926-1
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License Number State | NY
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