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General NPI Number Information
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NPI Number | 1043751381
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Entity Type | Organization
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Legal Business Name | BALANCE MEDICAL AND REHAB, PLLC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 1133 S MAIN ST
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City | MILAN
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State | TN
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Zip | 38358-2725
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Country | US
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Telephone | 731-686-8636
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Fax | 731-686-8635
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Provider Business Mailing Address
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Address Line | 1133 S MAIN ST
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City | MILAN
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State | TN
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Zip | 38358-2725
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Country | US
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Telephone | 731-686-8636
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Fax | 731-686-8635
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LYNDSEY P POWERS
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Credential | DC
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Telephone | 731-686-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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