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General NPI Number Information
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NPI Number | 1801851423
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Entity Type | Individual
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Provider Name | TERRIE JEAN BALES MSN
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 05/25/2017
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Provider Practice Location Address
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Address Line | 325 NEW CASTLE RD
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City | BUTLER
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State | PA
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Zip | 16001-2418
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Country | US
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Telephone | 724-477-5039
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Fax | 724-477-5038
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Provider Business Mailing Address
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Address Line | 2201 E STATE ST
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City | HERMITAGE
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State | PA
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Zip | 16148-2727
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Country | US
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Telephone | 724-981-7141
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Fax | 724-981-7763
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP004547L
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License Number State | PA
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