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General NPI Number Information
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NPI Number | 1972107639
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Entity Type | Individual
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Provider Name | ARUNAS J BALCIAUSKAS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 8989 E US HIGHWAY 20
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City | NEW CARLISLE
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State | IN
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Zip | 46552-9084
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Country | US
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Telephone | 574-654-3148
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Fax | 574-654-4554
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Provider Business Mailing Address
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Address Line | 8989 E US HIGHWAY 20
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City | NEW CARLISLE
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State | IN
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Zip | 46552-9084
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Country | US
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Telephone | 574-654-3148
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Fax | 574-654-4554
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.287200
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302035749
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26021620A
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License Number State | IN
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