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General NPI Number Information
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NPI Number | 1326039447
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Entity Type | Individual
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Provider Name | STEVEN LEE BALLAS MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 627 EASTLAND AVE SE STE 301
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City | WARREN
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State | OH
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Zip | 44484-4501
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Country | US
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Telephone | 330-392-3099
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Fax | 330-395-1721
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Provider Business Mailing Address
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Address Line | 627 EASTLAND AVE SE STE 301
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City | WARREN
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State | OH
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Zip | 44484-4501
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Country | US
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Telephone | 330-392-3099
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Fax | 330-395-1721
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35047548
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD043738L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35047548
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License Number State | OH
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