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General NPI Number Information
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NPI Number | 1306738612
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Entity Type | Organization
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Legal Business Name | EQUILIBRIO WELLNESS
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3320 3RD AVE STE B
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City | SAN DIEGO
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State | CA
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Zip | 92103-5684
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Country | US
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Telephone | 619-955-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 3RD AVE STE B
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City | SAN DIEGO
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State | CA
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Zip | 92103-5684
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Country | US
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Telephone | 619-955-6670
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NICOLE TROMBLEY
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Credential |
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Telephone | 619-847-9231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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