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General NPI Number Information
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NPI Number | 1619797529
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Entity Type | Organization
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Legal Business Name | BALANCED HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1824 ARNOLD PALMER DR
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City | EL PASO
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State | TX
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Zip | 79935-3024
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Country | US
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Telephone | 915-252-0732
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Fax |
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Provider Business Mailing Address
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Address Line | 1824 ARNOLD PALMER DR
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City | EL PASO
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State | TX
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Zip | 79935-3024
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Country | US
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Telephone | 915-252-0732
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. RAMONA BAEZA
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Credential | MSN, APRN, FNP-C
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Telephone | 915-252-0732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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