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General NPI Number Information
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NPI Number | 1326304320
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Entity Type | Organization
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Legal Business Name | BALANCE FOR HEALTH, INC.
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 175 NW 14TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-3102
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Country | US
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Telephone | 305-282-5429
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Fax | 305-246-7942
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Provider Business Mailing Address
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Address Line | 308 NW 19TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-3102
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Country | US
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Telephone | 305-282-5429
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Fax | 305-246-7942
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Authorized Official
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Title or Position | OWNER
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Name | MRS. STEPHANIE J WARD
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Credential | L.AC.
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Telephone | 305-282-5429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP1133
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License Number State | FL
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