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General NPI Number Information
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NPI Number | 1164481644
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Entity Type | Organization
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Legal Business Name | BALANCED FAMILY HEALTH CARE, INC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 601 W BYPASS
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City | ANDALUSIA
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State | AL
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Zip | 36420-4732
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Country | US
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Telephone | 334-222-0184
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Fax | 334-222-0625
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Provider Business Mailing Address
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Address Line | 601 W BYPASS
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City | ANDALUSIA
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State | AL
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Zip | 36420-4732
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Country | US
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Telephone | 334-222-0184
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Fax | 334-222-0625
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOANNE M. SMITH
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Credential | DO
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Telephone | 334-222-0184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO235
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License Number State | AL
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