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General NPI Number Information
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NPI Number | 1124980206
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Entity Type | Organization
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Legal Business Name | VIDA IN BALANCE, LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 3317 S HIGLEY RD
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City | GILBERT
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State | AZ
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Zip | 85297-5436
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Country | US
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Telephone | 303-717-5767
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Fax |
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Provider Business Mailing Address
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Address Line | 412 DEVONSHIRE DR
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City | YOUNG AMERICA
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State | MN
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Zip | 55397-9621
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Country | US
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Telephone | 303-717-5767
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Fax | 303-717-5767
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TAMMY RENE ARMIJO
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Credential |
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Telephone | 303-717-5767
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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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