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General NPI Number Information
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NPI Number | 1992217780
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Entity Type | Individual
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Provider Name | ALDRICH JADWIN BABIERA BALANAK NP
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Gender | Male
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 1604 E 8TH ST STE A
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City | WESLACO
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State | TX
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Zip | 78596-5587
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Country | US
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Telephone | 956-447-5557
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Fax | 956-447-5747
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Provider Business Mailing Address
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Address Line | 905 N LOOP 499 APT 1121
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City | HARLINGEN
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State | TX
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Zip | 78550-2549
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Country | US
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Telephone | 956-577-6098
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10171285
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP136070
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License Number State | TX
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