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General NPI Number Information
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NPI Number | 1407283856
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Entity Type | Organization
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Legal Business Name | HARRY H BALLARD, MD PLLC
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 2007 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28560
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Country | US
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Telephone | 252-634-6360
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Fax | 252-634-6364
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Provider Business Mailing Address
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Address Line | 4603 W FAIRWAY DR
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City | NEW BERN
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State | NC
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Zip | 28562
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Country | US
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Telephone | 252-671-4708
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Fax | 252-772-8240
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Authorized Official
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Title or Position | OWNER
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Name | HARRY H BALLARD
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Credential | MD
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Telephone | 252-671-4708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 21247
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License Number State | NC
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