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General NPI Number Information
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NPI Number | 1225627326
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Entity Type | Individual
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Provider Name | LINDSEY BALLEW NP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 424 DIXIE PLZ
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5881
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Country | US
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Telephone | 318-352-6883
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Fax | 318-356-0732
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Provider Business Mailing Address
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Address Line | 255 BERT KOUNS INDUSTRIAL LOOP
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City | SHREVEPORT
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State | LA
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Zip | 71106-8150
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Country | US
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Telephone | 318-683-0411
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Fax | 318-683-0743
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 218207
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 218207
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License Number State | LA
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