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General NPI Number Information
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NPI Number | 1033756069
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Entity Type | Individual
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Provider Name | SHELBI LYN BALLARD SLP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 4401 STERLINGTON RD
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City | MONROE
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State | LA
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Zip | 71203-2339
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Country | US
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Telephone | 318-232-1969
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Fax |
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Provider Business Mailing Address
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Address Line | 107 SUMMER LN
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City | WEST MONROE
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State | LA
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Zip | 71291-3501
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Country | US
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Telephone | 318-396-1969
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 8100
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License Number State | LA
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