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General NPI Number Information
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NPI Number | 1295845931
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Entity Type | Individual
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Provider Name | NANCY CONRAD BALL MED LPC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2307 W CONE BLVD SUITE 280
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-272-0079
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Fax | 336-907-8031
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Provider Business Mailing Address
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Address Line | 2307 W. CONE BLVD. SUITE 280
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-272-0079
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Fax | 336-907-8031
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC769
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License Number State | NC
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