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General NPI Number Information
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NPI Number | 1245784537
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Entity Type | Organization
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Legal Business Name | BODY BALANCE HOLISTICS
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 23517 MAIN ST STE 103
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City | CARSON
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State | CA
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Zip | 90745-5234
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Country | US
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Telephone | 818-940-1168
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Fax |
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Provider Business Mailing Address
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Address Line | 23517 MAIN ST STE 103
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City | CARSON
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State | CA
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Zip | 90745-5234
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Country | US
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Telephone | 818-940-1168
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST/PRESIDENT
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Name | MR. JOHN K CHEUNG
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Credential | L.AC
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Telephone | 626-780-3015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | CA
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