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General NPI Number Information
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NPI Number | 1720195324
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Entity Type | Organization
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Legal Business Name | FAL RIVER HEALTH CENTER
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 202 ROUTE 1 SUITE 203
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City | FALMOUTH
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State | ME
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Zip | 04105-1327
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Country | US
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Telephone | 207-781-7880
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Fax | 207-781-7882
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Provider Business Mailing Address
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Address Line | 202 ROUTE 1 SUITE 203
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City | FALMOUTH
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State | ME
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Zip | 04105-1327
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Country | US
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Telephone | 207-781-7880
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Fax | 207-781-7882
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Authorized Official
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Title or Position | PHYSICIAN
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Name | PAUL J BALZER
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Credential | M.D.
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Telephone | 207-781-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C66296
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License Number State | ME
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