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General NPI Number Information
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NPI Number | 1396280707
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Entity Type | Organization
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Legal Business Name | DAVID BALFOUR DC
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 1021 N MAPLE ST
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City | BURBANK
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State | CA
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Zip | 91505-2433
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Country | US
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Telephone | 818-970-6170
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 N MAPLE ST
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City | BURBANK
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State | CA
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Zip | 91505-2433
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Country | US
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Telephone | 818-970-6170
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DAVID BALFOUR
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Credential | DC
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Telephone | 818-970-6170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | DC13442
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License Number State | CA
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