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General NPI Number Information
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NPI Number | 1396324638
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Entity Type | Individual
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Provider Name | MARLENE LILLIAN BALL
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 283 PARAGON PKWY
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City | CLYDE
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State | NC
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Zip | 28721-8509
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Country | US
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Telephone | 828-452-2400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 922
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City | LAKE JUNALUSKA
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State | NC
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Zip | 28745-0922
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Country | US
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Telephone | 828-551-7952
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1615
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License Number State | NC
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