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General NPI Number Information
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NPI Number | 1255032496
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Entity Type | Organization
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Legal Business Name | BALANCED VISION LLC
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 500 WISCONSIN AVE
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City | RACINE
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State | WI
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Zip | 53403-1060
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Country | US
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Telephone | 262-672-1501
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Fax |
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Provider Business Mailing Address
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Address Line | 500 WISCONSIN AVE
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City | RACINE
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State | WI
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Zip | 53403-1060
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Country | US
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Telephone | 262-672-1501
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Fax |
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Authorized Official
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Title or Position | FOUNDER, DIRECTOR
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Name | TUANQUILLA MONTESSA THOMPSON
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Credential | APSW
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Telephone | 262-672-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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