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General NPI Number Information
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NPI Number | 1215953666
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Entity Type | Individual
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Provider Name | LINDA J BALL DO
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 855 MONTGOMERY
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City | FORT WORTH
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State | TX
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Zip | 76107-2553
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Country | US
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Telephone | 817-735-3627
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 99335
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City | FORT WORTH
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State | TX
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Zip | 76199-0335
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Country | US
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Telephone | 817-735-3627
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 8290
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J7303
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License Number State | TX
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