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General NPI Number Information
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NPI Number | 1154815561
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Entity Type | Organization
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Legal Business Name | BALANCING HEALTH LLC
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 3332 NE 33RD ST STE 2
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7112
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Country | US
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Telephone | 646-221-1267
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 GALT OCEAN DR APT 208
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-6020
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Country | US
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Telephone | 646-221-1267
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. PEDRO A GILABERT
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Credential |
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Telephone | 646-221-1267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME116028
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License Number State | FL
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