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General NPI Number Information
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NPI Number | 1841986551
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Entity Type | Organization
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Legal Business Name | BALANCE FOR LIFE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 1310 EASTSIDE CENTRE CT STE 2
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2748
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Country | US
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Telephone | 870-736-6229
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 EASTSIDE CENTRE CT STE 2
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2748
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Country | US
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Telephone | 870-736-6229
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ERIKA BETH ECKMAN
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Credential | DC
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Telephone | 870-736-6229
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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