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General NPI Number Information
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NPI Number | 1396142261
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Entity Type | Individual
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Provider Name | HEATHER BALL
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 6707 WHITESTONE RD STE 106
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City | WOODLAWN
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State | MD
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Zip | 21207-4140
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Country | US
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Telephone | 301-265-8737
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Fax |
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Provider Business Mailing Address
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Address Line | 7718 BRIDLE PATH CIR
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City | FREDERICK
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State | MD
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Zip | 21701-3371
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Country | US
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Telephone | 301-898-3108
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R157601
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License Number State | MD
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