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General NPI Number Information
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NPI Number | 1538734298
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Entity Type | Organization
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Legal Business Name | SERGIO BALLI CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 6789 N WILLOW AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93710-5959
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Country | US
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Telephone | 559-978-9324
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Fax | 559-298-6322
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Provider Business Mailing Address
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Address Line | 6789 N WILLOW AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93710-5959
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Country | US
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Telephone | 559-978-9324
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Fax | 559-298-6322
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SERGIO ARTURO BALLI
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Credential | DC
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Telephone | 559-298-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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