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General NPI Number Information
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NPI Number | 1538867353
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Entity Type | Organization
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Legal Business Name | BALANCED BEGINNINGS PEDIATRIC THERAPY, PLLC
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 629 CONNINGTON WAY
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City | ROLESVILLE
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State | NC
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Zip | 27571-9757
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Country | US
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Telephone | 407-222-4753
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Fax |
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Provider Business Mailing Address
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Address Line | 629 CONNINGTON WAY
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City | ROLESVILLE
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State | NC
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Zip | 27571-9757
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Country | US
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Telephone | 407-222-4753
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN HUFFMAN
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Credential | M.A. CCC-SLP
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Telephone | 407-222-4753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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