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General NPI Number Information
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NPI Number | 1780806422
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Entity Type | Organization
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Legal Business Name | BALMONT FAMILY PRACTICE GROUP P.C.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 5008 BALTIMORE AVE SUITE A
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City | PHILADELPHIA
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State | PA
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Zip | 19143-3302
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Country | US
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Telephone | 215-764-8520
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Fax | 215-764-8521
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Provider Business Mailing Address
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Address Line | 5008 BALTIMORE AVE STE A
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City | PHILADELPHIA
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State | PA
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Zip | 19143-4271
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Country | US
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Telephone | 215-764-8520
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Fax | 215-764-8521
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Authorized Official
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Title or Position | PROVIDER
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Name | TERRENCE MICHAEL CURLEY
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Credential |
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Telephone | 215-764-8520
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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 | OS007190L
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License Number State | PA
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