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General NPI Number Information
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NPI Number | 1053454678
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Entity Type | Organization
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Legal Business Name | SIMPLE RELIEF WELLNESS CENTERS LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 02/27/2021
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Provider Practice Location Address
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Address Line | 2801 FRUITVILLE RD STE 100
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City | SARASOTA
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State | FL
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Zip | 34237-5336
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Country | US
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Telephone | 941-363-9000
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Fax | 941-350-1394
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Provider Business Mailing Address
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Address Line | 2801 FRUITVILLE RD STE 100
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City | SARASOTA
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State | FL
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Zip | 34237-5336
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Country | US
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Telephone | 941-363-9000
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Fax | 941-350-1394
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH SCOTT BALEN
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Credential | DC
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Telephone | 941-363-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6287
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH7535
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7535
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License Number State | FL
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