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General NPI Number Information
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NPI Number | 1750172920
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Entity Type | Organization
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Legal Business Name | TRUBALANCE WELLNESS INC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2449 MOORES MILL RD STE 200
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City | AUBURN
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State | AL
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Zip | 36830-8428
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Country | US
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Telephone | 334-246-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2449 MOORES MILL RD STE 200
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City | AUBURN
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State | AL
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Zip | 36830-8428
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Country | US
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Telephone | 334-246-4000
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Fax | 334-466-4710
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Authorized Official
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Title or Position | OWNER
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Name | AMY SANDERSON
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Credential | FNP-BC
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Telephone | 334-246-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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