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General NPI Number Information
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NPI Number | 1649645169
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Entity Type | Individual
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Provider Name | BIENVINIDO ARIAS BALAOING
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Gender | Male
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 20 YORK ST TMP 3
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City | NEW HAVEN
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State | CT
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Zip | 06510
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Country | US
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Telephone | 203-688-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 138 WINDERMERE RIDGE DR
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City | SOUTHINGTON
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State | CT
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Zip | 06489-1362
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Country | US
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Telephone | 860-628-8806
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 6405
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 116907-23
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License Number State | NH
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