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General NPI Number Information
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NPI Number | 1114113297
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Entity Type | Organization
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Legal Business Name | BALANCE WEIGHT INC.
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | AVE. APOLO C-31 (ALTOS) URB. VILLA CLEMENTINA
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-287-3737
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Fax | 787-287-3737
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Provider Business Mailing Address
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Address Line | AVE. APOLO C-31 (ALTOS) URB. VILLA CLEMENTINA
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-287-3737
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Fax | 787-287-3737
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. IRIANY PEREZ
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Credential |
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Telephone | 787-287-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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