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General NPI Number Information
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NPI Number | 1699329086
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Entity Type | Individual
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Provider Name | STANLEY WADE BALCH II DO
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Gender | Male
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 3715 DAUPHIN ST STE 7A
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City | MOBILE
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State | AL
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Zip | 36608-1775
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Country | US
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Telephone | 406-868-1972
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Fax |
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Provider Business Mailing Address
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Address Line | 3715 DAUPHIN ST STE 7A
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City | MOBILE
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State | AL
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Zip | 36608-1775
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Country | US
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Telephone | 251-410-4001
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Fax | 251-410-4002
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO.2917
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DO.2917
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2019022909
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License Number State | MO
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