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General NPI Number Information
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NPI Number | 1679747067
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Entity Type | Individual
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Provider Name | ERIC JOAQUIN BALAGUER MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 8905 SW 87TH AVE SUITE 100
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City | MIAMI
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State | FL
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Zip | 33176-2227
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Country | US
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Telephone | 305-667-8686
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Fax | 305-667-8680
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Provider Business Mailing Address
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Address Line | 8905 SW 87 AVENUE SUITE 100
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City | MIAMI
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State | FL
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Zip | 33176-2210
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Country | US
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Telephone | 305-667-8686
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Fax | 305-270-8989
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME108747
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 253066
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 047689
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License Number State | CT
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