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General NPI Number Information
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NPI Number | 1548791106
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Entity Type | Individual
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Provider Name | STEVEN PAUL BALTIC MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 125 AKERS FARM ROAD SUITE C
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073
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Country | US
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Telephone | 540-552-7133
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Fax | 540-251-3516
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Provider Business Mailing Address
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Address Line | PO BOX 19305
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City | CHARLOTTE
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State | NC
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Zip | 28219-9305
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101281821
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2023-00893
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License Number State | NC
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