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General NPI Number Information
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NPI Number | 1407339534
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Entity Type | Organization
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Legal Business Name | OSTEO HEALTH AND BALANCE INC
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 4330 SOUTHPORT SUPPLY RD STE 103
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City | SOUTHPORT
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State | NC
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Zip | 28461-9265
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Country | US
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Telephone | 910-363-4222
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Fax | 910-477-6336
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Provider Business Mailing Address
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Address Line | 4330 SOUTHPORT SUPPLY RD STE 103
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City | SOUTHPORT
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State | NC
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Zip | 28461-9265
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Country | US
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Telephone | 910-363-4222
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Fax | 910-477-6336
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JOAN BRAY
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Credential | DPT
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Telephone | 919-995-0255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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