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General NPI Number Information
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NPI Number | 1639161375
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Entity Type | Organization
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Legal Business Name | W R BALASH MD
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1623 UNION AVENUE
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City | NATRONA HEIGHTS
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State | PA
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Zip | 15065
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Country | US
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Telephone | 724-224-9300
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Fax | 724-224-7420
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Provider Business Mailing Address
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Address Line | 1623 UNION AVENUE
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City | NATRONA HEIGHTS
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State | PA
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Zip | 15065
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Country | US
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Telephone | 724-224-9300
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Fax | 724-224-7420
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. WILLIAM RICHARD BALASH
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Credential | MD
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Telephone | 724-224-9300
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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 | MD 025487-L
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License Number State | PA
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