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General NPI Number Information
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NPI Number | 1003842667
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Entity Type | Organization
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Legal Business Name | THE HUMAN BALANCE CENTER
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12920 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3772
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Country | US
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Telephone | 772-581-5837
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Fax | 772-539-9254
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Provider Business Mailing Address
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Address Line | 12920 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3772
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Country | US
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Telephone | 772-581-5837
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Fax | 772-539-9254
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARQUIMEDES LOPES
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Credential | PT
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Telephone | 772-581-8378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4629
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License Number State | FL
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