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General NPI Number Information
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NPI Number | 1366599599
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Entity Type | Organization
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Legal Business Name | BALANCE THERAPY & ACUPUNCTURE INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 6399 WILSHIRE BLVD SUITE 420
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City | LOS ANGELES
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State | CA
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Zip | 90048-5703
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Country | US
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Telephone | 323-382-7807
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Fax |
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Provider Business Mailing Address
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Address Line | 6399 WILSHIRE BLVD SUITE 420
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City | LOS ANGELES
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State | CA
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Zip | 90048-5703
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Country | US
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Telephone | 323-382-7807
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. EDWARD KEE CHANG
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Credential | OTL
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Telephone | 323-382-7807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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