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General NPI Number Information
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NPI Number | 1457949919
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Entity Type | Organization
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Legal Business Name | BALANCE POINT ACUPUNCTURE LLC
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 2005 NW GRANT AVE
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City | CORVALLIS
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State | OR
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Zip | 97330-4366
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Country | US
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Telephone | 541-714-3200
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Fax | 541-638-3275
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Provider Business Mailing Address
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Address Line | 2005 NW GRANT AVE
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City | CORVALLIS
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State | OR
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Zip | 97330-4366
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Country | US
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Telephone | 541-714-3200
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Fax | 541-638-3275
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | MS. ONDRIA L HOLUB
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Credential | BS, MACOM, L.AC
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Telephone | 541-714-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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