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General NPI Number Information
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NPI Number | 1437146818
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Entity Type | Individual
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Provider Name | CAROL BALLARD F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 810 HOSPITAL DR
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City | BLACKSBURG
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State | VA
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Zip | 24060-7023
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Country | US
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Telephone | 540-951-3311
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Fax | 540-552-8564
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Provider Business Mailing Address
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Address Line | 280 EMERALD BLVD
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-5830
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Country | US
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Telephone | 540-951-3311
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Fax | 540-552-8564
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0017001276
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License Number State | VA
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