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General NPI Number Information
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NPI Number | 1548495724
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Entity Type | Individual
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Provider Name | CHARLOTTE D. BALLARD RNFA
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Gender | Female
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 1201 S MILLER ST CENTRAL WASHINGTON HOSPITAL
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City | WENATCHEE
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State | WA
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Zip | 98801-3201
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Country | US
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Telephone | 509-665-6054
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Fax | 509-665-6052
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Provider Business Mailing Address
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Address Line | 1201 S. MILLER STREET CENTRAL WASHINGTON HOSPITAL
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City | WENATCHEE
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State | WA
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Zip | 98801-3201
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Country | US
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Telephone | 509-665-6054
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Fax | 509-665-6052
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN00163965
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License Number State | WA
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