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General NPI Number Information
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NPI Number | 1215782156
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Entity Type | Organization
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Legal Business Name | BALCH CHIROPRACTIC PC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 199 CALIFORNIA DR STE 100
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City | MILLBRAE
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State | CA
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Zip | 94030-3118
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Country | US
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Telephone | 650-219-0727
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Fax | 650-692-6237
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Provider Business Mailing Address
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Address Line | 199 CALIFORNIA DR STE 100
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City | MILLBRAE
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State | CA
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Zip | 94030-3118
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Country | US
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Telephone | 650-219-0727
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Fax | 650-692-6237
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Authorized Official
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Title or Position | CEO
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Name | DENNIS JAMES BALCH
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Credential | DC
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Telephone | 650-219-0727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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