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General NPI Number Information
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NPI Number | 1003700774
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Entity Type | Organization
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Legal Business Name | BALANCEDFLOW INC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 231 SALT LICK RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-5974
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Country | US
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Telephone | 636-800-4600
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Fax | 314-754-8357
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Provider Business Mailing Address
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Address Line | 231 SALT LICK RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-5974
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Country | US
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Telephone | 636-800-4600
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Fax | 314-754-8357
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Authorized Official
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Title or Position | OWNER
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Name | DEMIR DEVECIGIL
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Credential |
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Telephone | 636-800-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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