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General NPI Number Information
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NPI Number | 1245182773
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Entity Type | Organization
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Legal Business Name | BALANCED PHYSICAL THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 6745 ACADEMY RD NE STE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3373
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Country | US
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Telephone | 505-933-7865
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Fax | 505-295-4179
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Provider Business Mailing Address
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Address Line | 7849 TRAMWAY BLVD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-2529
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Country | US
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Telephone | 505-895-9381
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Fax | 505-212-0786
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Authorized Official
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Title or Position | OWNER
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Name | JAMEL ESCH
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Credential | PT
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Telephone | 505-485-7468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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