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General NPI Number Information
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NPI Number | 1154643575
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Entity Type | Individual
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Provider Name | KRISTI LEA BALL MA,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 11550 N MERIDIAN ST
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City | CARMEL
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State | IN
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Zip | 46032-6956
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Country | US
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Telephone | 317-815-0773
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Fax | 186-636-4934
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Provider Business Mailing Address
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Address Line | 12999 BROOKHAVEN DR
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City | FISHERS
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State | IN
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Zip | 46037-5957
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22003041A
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License Number State | IN
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