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General NPI Number Information
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NPI Number | 1093600363
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Entity Type | Organization
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Legal Business Name | VITAL BALANCE HEALING CENTER INC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1 W 34TH ST RM 904
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City | NEW YORK
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State | NY
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Zip | 10001-3011
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Country | US
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Telephone | 212-470-3258
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Fax |
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Provider Business Mailing Address
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Address Line | 8105 4TH AVE APT 3B
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City | BROOKLYN
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State | NY
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Zip | 11209-4421
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Country | US
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Telephone | 212-470-3258
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Fax |
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Authorized Official
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Title or Position | LAC/OWNER
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Name | MR. YASUSHI SUZUKI
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Credential | LAC
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Telephone | 212-470-3258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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