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General NPI Number Information
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NPI Number | 1104700178
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Entity Type | Organization
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Legal Business Name | BLOOM AND BALANCE PLLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 330 W LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-8527
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Country | US
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Telephone | 517-858-2865
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Fax | 517-225-0490
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Provider Business Mailing Address
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Address Line | 330 W LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-8527
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Country | US
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Telephone | 517-858-2865
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Fax | 517-225-0490
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN STENLUND
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Credential | MD
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Telephone | 517-858-2865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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