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General NPI Number Information
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NPI Number | 1710862693
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Entity Type | Organization
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Legal Business Name | INNER BALANCE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 139 FULTON ST RM 717
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City | NEW YORK
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State | NY
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Zip | 10038-2545
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Country | US
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Telephone | 347-906-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CHAPEL ST APT 5L
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City | BROOKLYN
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State | NY
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Zip | 11201-2950
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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 | PRESIDENT
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Name | KYUNGJUN LEE
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Credential |
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Telephone | 347-906-2288
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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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