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General NPI Number Information
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NPI Number | 1376466177
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Entity Type | Organization
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Legal Business Name | BODIES N BALANCE
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 504 RED BANKS RD STE C
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City | GREENVILLE
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State | NC
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Zip | 27858-5766
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Country | US
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Telephone | 252-916-4530
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Fax |
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Provider Business Mailing Address
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Address Line | 3132 CHESSWOOD LN
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City | WINTERVILLE
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State | NC
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Zip | 28590-7992
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Country | US
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Telephone | 252-624-1241
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN MIKESELL
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Credential |
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Telephone | 252-624-1241
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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 | 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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