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General NPI Number Information
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NPI Number | 1114891546
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Entity Type | Organization
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Legal Business Name | THE LIFE OF BALANCE LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 5150 STILESBORO RD NW STE 615
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City | KENNESAW
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State | GA
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Zip | 30152-7760
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Country | US
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Telephone | 404-983-4481
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 MARS HILL RD NW STE 8-144
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City | ACWORTH
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State | GA
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Zip | 30101-7127
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Country | US
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Telephone | 404-983-4481
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAURA G THOMPSON
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Credential | LMT
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Telephone | 404-983-4481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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