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General NPI Number Information
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NPI Number | 1689030207
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Entity Type | Organization
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Legal Business Name | BALANCE FOR ALL, INC.
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 6238 PRESIDENTIAL CT. STE 6
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City | FORT MYERS
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State | FL
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Zip | 33919
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Country | US
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Telephone | 239-980-6793
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Fax |
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Provider Business Mailing Address
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Address Line | 6238 PRESIDENTIAL CT. STE 6
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City | FORT MYERS
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State | FL
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Zip | 33919
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Country | US
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Telephone | 239-980-6793
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DARLENE CARSWELL
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Credential | AP
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Telephone | 239-980-6793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | FL
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