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General NPI Number Information
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NPI Number | 1063674018
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Entity Type | Individual
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Provider Name | CLIFFORD R BALL MD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 3219 E CAMELBACK RD SUITE #545
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City | PHOENIX
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State | AZ
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Zip | 85018-2307
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Country | US
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Telephone | 903-276-7379
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Fax | 602-288-6500
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Provider Business Mailing Address
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Address Line | 3219 E CAMELBACK RD SUITE #545
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City | PHOENIX
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State | AZ
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Zip | 85018-2307
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Country | US
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Telephone | 903-276-7379
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Fax | 602-288-6500
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 45170
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E6346
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License Number State | AR
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