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General NPI Number Information
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NPI Number | 1215568589
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Entity Type | Individual
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Provider Name | BHUPINDERJIT KAUR BALLAGAN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 17065 S OUTER RD
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City | BELTON
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State | MO
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Zip | 64012-2165
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Country | US
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Telephone | 816-276-4700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749495
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City | ATLANTA
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State | GA
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Zip | 30374-9495
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Country | US
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Telephone | 855-963-2100
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Fax | 813-321-1296
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2021047186
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2021047186
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License Number State | MO
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