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General NPI Number Information
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NPI Number | 1144005927
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Entity Type | Organization
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Legal Business Name | THE BALANCE SYSTEM CORPORATION
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 5684 MAGNOLIA ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-1326
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Country | US
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Telephone | 215-317-9046
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | BLUE BELL
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State | PA
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Zip | 19422-0004
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Country | US
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Telephone | 215-317-9046
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | ANGELA YOLONDA CHINA
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Credential | LBS
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Telephone | 610-533-5879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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