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General NPI Number Information
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NPI Number | 1962350926
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Entity Type | Organization
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Legal Business Name | AURORA BALANCE THERAPY LLC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 823 PEACE LN
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City | OREGON
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State | WI
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Zip | 53575
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Country | US
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Telephone | 414-737-9073
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Fax |
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Provider Business Mailing Address
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Address Line | 345 W WASHINGTON AVE SUITE 301 PMB 2032
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City | MADISON
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State | WI
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Zip | 53703-2718
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Country | US
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Telephone | 414-737-9073
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/ OWNER
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Name | GALINA EMMERICH
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Credential | MA, LPC, NCC
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Telephone | 414-737-9073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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