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General NPI Number Information
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NPI Number | 1306961529
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Entity Type | Organization
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Legal Business Name | NATURAL BALANCE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 2950 HAVANA ST
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City | DENVER
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State | CO
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Zip | 80238-3965
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Country | US
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Telephone | 303-355-0363
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Fax | 303-355-0368
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Provider Business Mailing Address
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Address Line | 2950 HAVANA ST
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City | DENVER
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State | CO
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Zip | 80238-3965
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Country | US
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Telephone | 303-355-0363
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Fax | 303-355-0368
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSICA RYNN YOUNG
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Credential | D.C.
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Telephone | 303-355-0363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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