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General NPI Number Information
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NPI Number | 1619509130
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Entity Type | Organization
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Legal Business Name | BALANCE U LLC
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 804 EMMETT ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-5434
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Country | US
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Telephone | 407-692-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 47 SILVER FALLS CIR
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City | KISSIMMEE
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State | FL
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Zip | 34743-3807
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Country | US
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Telephone | 407-692-4226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARGARITA M TORRES
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Credential |
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Telephone | 407-692-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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