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General NPI Number Information
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NPI Number | 1205714268
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Entity Type | Organization
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Legal Business Name | INNER BALANCE NURSING INC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 4140 CALAVO DR
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City | LA MESA
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State | CA
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Zip | 91941-7052
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Country | US
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Telephone | 201-500-6992
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Fax | 833-605-4359
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Provider Business Mailing Address
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Address Line | 4140 CALAVO DR
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City | LA MESA
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State | CA
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Zip | 91941-7052
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Country | US
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Telephone | 310-800-1977
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Fax | 833-605-4359
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Authorized Official
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Title or Position | OWNER
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Name | VINCENT FEITOSA
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Credential | PMHNP
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Telephone | 201-500-6992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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