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General NPI Number Information
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NPI Number | 1477906501
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Entity Type | Organization
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Legal Business Name | BALANCE DIABETES AND ENDOCRINOLOGY PLLC
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 6533 PRESTON RD #100
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City | PLANO
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State | TX
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Zip | 75024-2697
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Country | US
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Telephone | 918-633-2679
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Fax |
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Provider Business Mailing Address
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Address Line | 6533 PRESTON RD #100
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City | PLANO
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State | TX
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Zip | 75024-2697
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Country | US
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Telephone | 918-633-2679
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SINDURA KATTA ALLOJU
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Credential | M.D.
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Telephone | 918-633-2679
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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 | P3738
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License Number State | TX
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