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General NPI Number Information
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NPI Number | 1114089117
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Entity Type | Individual
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Provider Name | ROBERT BALL MD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NATIONAL NAVAL MEDICAL CENTER OCCUPATIONAL MED CLINIC 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-0786
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Fax |
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Provider Business Mailing Address
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Address Line | 11109 STEPHALEE LN
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City | ROCKVILLE
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State | MD
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Zip | 20852-3655
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Country | US
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Telephone |
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 25MA05334500
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License Number State | NJ
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