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General NPI Number Information
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NPI Number | 1043698145
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Entity Type | Organization
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Legal Business Name | JULIE BALL, DMD
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 1515 LYNNHAVEN PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-2054
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Country | US
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Telephone | 757-427-1600
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Fax | 757-430-0479
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Provider Business Mailing Address
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Address Line | 1515 LYNNHAVEN PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-2054
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Country | US
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Telephone | 757-427-1600
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Fax | 757-430-0479
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Authorized Official
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Title or Position | MANAGER
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Name | AMANDA MCLAUGHLIN
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Credential |
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Telephone | 757-427-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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