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General NPI Number Information
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NPI Number | 1457224578
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Entity Type | Individual
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Provider Name | BETSY EMANUEL BALL MD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 3290 KNIGHT STREET
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City | SHREVEPORT
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State | LA
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Zip | 71105
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Country | US
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Telephone | 318-841-9532
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Fax |
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Provider Business Mailing Address
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Address Line | 308 CROSSCREEK DRIVE
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City | BOSSIER CITY
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State | LA
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Zip | 71111
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Country | US
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Telephone | 318-469-9084
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD.021571
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License Number State | LA
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