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General NPI Number Information
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NPI Number | 1902489768
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Entity Type | Organization
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Legal Business Name | BALANCE YOU PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 05/02/2021
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Provider Practice Location Address
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Address Line | 2120 E FIRE TOWER RD STE 107-1045
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City | GREENVILLE
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State | NC
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Zip | 27858-8013
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Country | US
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Telephone | 252-227-0497
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Fax | 225-351-0321
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Provider Business Mailing Address
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Address Line | 2120 E FIRE TOWER RD STE 107-1045
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City | GREENVILLE
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State | NC
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Zip | 27858-8013
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Country | US
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Telephone | 252-227-0497
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Fax | 225-351-0321
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN MCCLAIN WILSON
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Credential | PT
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Telephone | 252-227-0497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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