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General NPI Number Information
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NPI Number | 1649080474
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Entity Type | Organization
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Legal Business Name | BE WELL BALANCED PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 5957 W NORTHERN AVE STE 117
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City | GLENDALE
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State | AZ
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Zip | 85301-7825
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Country | US
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Telephone | 801-550-6059
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Fax |
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Provider Business Mailing Address
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Address Line | 5957 W NORTHERN AVE STE 117
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City | GLENDALE
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State | AZ
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Zip | 85301-7825
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA SARHAN
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Credential | APRN
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Telephone | 801-550-6059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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