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General NPI Number Information
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NPI Number | 1144506486
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Entity Type | Individual
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Provider Name | KENNETH DEAN BALL CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 08/30/2026
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Provider Practice Location Address
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Address Line | 726 MCFARLAND ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3989
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Country | US
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Telephone | 423-522-6160
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Fax |
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Provider Business Mailing Address
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Address Line | 2348 W AJ HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-3208
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 15496
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License Number State | TN
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