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General NPI Number Information
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NPI Number | 1922237593
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Entity Type | Individual
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Provider Name | AMRO BALKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2009
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 2336 SANTA MONICA BLVD STE 207
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City | SANTA MONICA
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State | CA
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Zip | 90404-2067
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Country | US
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Telephone | 310-449-1999
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Fax | 310-453-8533
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Provider Business Mailing Address
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Address Line | 2336 SANTA MONICA BLVD STE 207
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City | SANTA MONICA
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State | CA
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Zip | 90404-2067
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Country | US
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Telephone | 310-449-1999
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Fax | 310-453-8533
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 129471
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License Number State | CA
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