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General NPI Number Information
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NPI Number | 1215734454
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Entity Type | Organization
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Legal Business Name | TRIBALANCE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 3311 E DEL MAR BLVD STE 207
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City | LAREDO
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State | TX
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Zip | 78041-2448
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Country | US
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Telephone | 956-701-0208
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 E DEL MAR BLVD STE 207
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City | LAREDO
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State | TX
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Zip | 78041-2448
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Country | US
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Telephone | 956-701-0208
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | STEPHANIE GISELLE COLON CABOT
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Credential |
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Telephone | 210-636-3294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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