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General NPI Number Information
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NPI Number | 1447591003
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Entity Type | Organization
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Legal Business Name | BEAUTY THROUGH BALANCE ND INC
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 2709 GREENFIELD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90064-4031
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Country | US
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Telephone | 323-810-2831
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6185
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City | MALIBU
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State | CA
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Zip | 90264-6185
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MELANIE MCLEOD
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Credential |
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Telephone | 323-810-2831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 402
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License Number State | CA
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