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General NPI Number Information
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NPI Number | 1447236831
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Entity Type | Individual
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Provider Name | PATRICK BRIAN BALL DO
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 14395 STATE ROUTE 93
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City | JACKSON
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State | OH
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Zip | 45640-9360
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Country | US
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Telephone | 740-286-3034
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Fax | 740-288-7682
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Provider Business Mailing Address
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Address Line | PO BOX 267 14395 STATE ROUTE 93
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City | JACKSON
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State | OH
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Zip | 45640-0267
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Country | US
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Telephone | 740-286-3034
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Fax | 740-288-7682
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34003138B
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License Number State | OH
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