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General NPI Number Information
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NPI Number | 1013446665
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Entity Type | Individual
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Provider Name | JAMIE NICOLE BALL DDS
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 1218 NE WINDSOR DR
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5594
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Country | US
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Telephone | 816-554-7668
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Fax |
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Provider Business Mailing Address
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Address Line | 3875 THOMPSON ST
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City | KANSAS CITY
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State | KS
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Zip | 66103-3171
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Country | US
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Telephone | 785-259-5799
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 2017017883
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License Number State | MO
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