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General NPI Number Information
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NPI Number | 1992947782
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Entity Type | Organization
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Legal Business Name | KINETIC BALANCE THERAPEUTIC MASSAGE LLP
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 2024 SHEPHERDS GLEN LN
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City | ARLINGTON
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State | TX
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Zip | 76010-6791
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Country | US
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Telephone | 817-907-8870
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Fax | 940-321-0173
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Provider Business Mailing Address
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Address Line | 2024 SHEPHERDS GLEN LN
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City | ARLINGTON
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State | TX
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Zip | 76010-6791
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Country | US
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Telephone | 817-907-8870
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Fax | 940-321-0173
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Authorized Official
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Title or Position | PARTNER
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Name | THUY NGOC NGUYEN
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Credential |
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Telephone | 817-907-8870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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