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General NPI Number Information
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NPI Number | 1053045831
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Entity Type | Organization
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Legal Business Name | BALANCE NATUROPATHIC & ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 736 BRAWLEY SCHOOL RD STE E
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City | MOORESVILLE
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State | NC
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Zip | 28117-9283
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Country | US
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Telephone | 704-664-1031
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Fax | 704-664-1035
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Provider Business Mailing Address
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Address Line | 736 BRAWLEY SCHOOL RD STE E
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City | MOORESVILLE
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State | NC
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Zip | 28117-9283
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Country | US
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Telephone | 704-664-1031
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Fax | 704-664-1035
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MENG XIONG
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Credential | ND, LAC
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Telephone | 253-993-0931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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