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General NPI Number Information
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NPI Number | 1811163124
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Entity Type | Organization
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Legal Business Name | NUBALANCE LLC
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 781 CRANDON BLVD APT. 601
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-2543
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Country | US
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Telephone | 305-365-6749
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Fax | 305-365-6748
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Provider Business Mailing Address
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Address Line | 781 CRANDON BLVD APT. 601
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-2543
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Country | US
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Telephone | 305-365-6749
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Fax | 305-365-6748
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DANIELA TOEDTLI
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Credential | RD, LD/N
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Telephone | 305-794-2061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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