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General NPI Number Information
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NPI Number | 1477724623
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Entity Type | Individual
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Provider Name | CHAD G BALL M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 69 JESSE HILL JR DRIVE SUITE 302, GLENN MEMORIAL BLDG.
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City | ATLANTA
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State | GA
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Zip | 30303
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Country | US
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Telephone | 404-616-3553
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Fax |
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Provider Business Mailing Address
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Address Line | 860 PEACHTREE ST NE #1017
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City | ATLANTA
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State | GA
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Zip | 30308-1249
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Country | US
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Telephone | 404-518-2071
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 059120
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License Number State | GA
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