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General NPI Number Information
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NPI Number | 1083873087
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Entity Type | Individual
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Provider Name | BETH BALLARD MS,RD,LD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 150 WAR ADMIRAL STE 4
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City | DANVILLE
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State | KY
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Zip | 40422-8690
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Country | US
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Telephone | 859-236-6300
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Fax | 859-236-6308
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Provider Business Mailing Address
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Address Line | 3077 N SAINT FRANCIS RD
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City | LORETTO
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State | KY
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Zip | 40037-8164
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Country | US
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Telephone | 270-692-8323
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Fax | 502-388-2007
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 0622
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License Number State | KY
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