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General NPI Number Information
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NPI Number | 1700746674
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Entity Type | Organization
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Legal Business Name | BALANCE CHIROPRACTIC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 100 S 3RD ST UNIT 100
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City | TOLEDO
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State | WA
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Zip | 98591
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Country | US
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Telephone | 360-815-1697
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Fax |
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Provider Business Mailing Address
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Address Line | 609C FOREST NAPAVINE RD W
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City | CHEHALIS
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State | WA
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Zip | 98532-8801
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Country | US
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Telephone | 360-815-1697
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICHOLAUS A MARTIN
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Credential | DC
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Telephone | 360-623-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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