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General NPI Number Information
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NPI Number | 1730262650
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Entity Type | Organization
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Legal Business Name | CENTER OF BALANCE PHYSICAL THERAPY & PILATES P.C.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 646 N 1ST ST
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City | MONTROSE
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State | CO
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Zip | 81401-3707
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Country | US
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Telephone | 970-249-6811
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Fax | 970-249-5184
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Provider Business Mailing Address
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Address Line | 646 N 1ST ST
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City | MONTROSE
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State | CO
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Zip | 81401-3707
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Country | US
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Telephone | 970-249-6811
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Fax | 970-249-5184
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Authorized Official
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Title or Position | PT/OWNER
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Name | PAMELA BENSON
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Credential | PT
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Telephone | 970-249-6811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3989
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License Number State | CO
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