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General NPI Number Information
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NPI Number | 1083573059
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Entity Type | Individual
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Provider Name | KAMILLAH BALLEW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 7814 SEABURY CT
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City | WEST CHESTER
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State | OH
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Zip | 45069-9641
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Country | US
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Telephone | 513-713-2608
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Fax |
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Provider Business Mailing Address
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Address Line | 3 WOODMOSS DR APT 2A
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City | FAIRFIELD
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State | OH
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Zip | 45014-6435
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Country | US
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Telephone | 513-713-2608
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | SM191345
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License Number State | OH
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