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General NPI Number Information
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NPI Number | 1245983618
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Entity Type | Organization
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Legal Business Name | BALANCE PODIATRY PLLC
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 02/02/2025
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Provider Practice Location Address
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Address Line | 14502 CYPRESS MILL PLACE BLVD # 300
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City | CYPRESS
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State | TX
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Zip | 77429-7299
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Country | US
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Telephone | 832-899-4708
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Fax | 832-899-4709
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Provider Business Mailing Address
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Address Line | 14502 CYPRESS MILL PLACE BLVD # 300
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City | CYPRESS
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State | TX
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Zip | 77429-7299
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Country | US
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Telephone | 832-899-4708
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Fax | 832-899-4709
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALI SHAMS-HAKIMI
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Credential | DPM
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Telephone | 832-899-4708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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