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General NPI Number Information
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NPI Number | 1932238227
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Entity Type | Individual
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Provider Name | THOMAS ALLEN BALCOM MD
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8808 BALBOA AVENUE TOC CLAIREMONT
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City | SAN DIEGO
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State | CA
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Zip | 92133
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Country | US
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Telephone | 858-569-6460
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Fax |
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Provider Business Mailing Address
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Address Line | 1056 VILLAGE COURT
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City | OCEANSIDE
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State | CA
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Zip | 92057
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Country | US
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Telephone | 760-231-1041
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 680055
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | G80055
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License Number State | CA
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