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General NPI Number Information
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NPI Number | 1619131521
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Entity Type | Organization
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Legal Business Name | MUBEENA A BALTI MD PC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 350 ALBERTA DR
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City | AMHERST
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State | NY
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Zip | 14226-1855
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Country | US
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Telephone | 716-836-8380
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Fax |
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Provider Business Mailing Address
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Address Line | 350 ALBERTA DR
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City | BUFFALO
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State | NY
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Zip | 14226-1855
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Country | US
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Telephone | 716-836-8380
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUBEENA AKHTER BALTI
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Credential | MD
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Telephone | 716-836-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 152275
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License Number State | NY
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