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General NPI Number Information
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NPI Number | 1265343578
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Entity Type | Organization
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Legal Business Name | VITAL BALANCE HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 2701 S CARAWAY RD STE A1
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City | JONESBORO
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State | AR
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Zip | 72401-7336
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Country | US
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Telephone | 870-926-5710
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Fax |
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Provider Business Mailing Address
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Address Line | 2404 RACE ST PO BOX 19395
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City | JONESBORO
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State | AR
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Zip | 72403-7700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | VICTORIA GAMBLE
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Credential | APRN
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Telephone | 870-243-2807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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