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General NPI Number Information
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NPI Number | 1245149020
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Entity Type | Organization
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Legal Business Name | BALLARD CA, PC
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 1962 FULLERTON AVE
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City | COSTA MESA
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State | CA
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Zip | 92627-2232
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Country | US
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Telephone | 833-216-0521
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Fax |
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Provider Business Mailing Address
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Address Line | 3267 BEE CAVES RD STE 107-225
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City | AUSTIN
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State | TX
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Zip | 78746-6700
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Country | US
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Telephone | 833-216-0521
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Fax |
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Authorized Official
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Title or Position | COO
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Name | NICOLE ARCE
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Credential |
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Telephone | 310-857-0115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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