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General NPI Number Information
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NPI Number | 1558365403
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Entity Type | Individual
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Provider Name | MARCIA H BALLARD FNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 304 SAUNDERS ST
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City | CARTHAGE
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State | NC
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Zip | 28327-9343
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Country | US
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Telephone | 910-947-3000
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Fax | 910-947-6798
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Provider Business Mailing Address
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Address Line | 304 SAUNDERS ST
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City | CARTHAGE
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State | NC
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Zip | 28327-9343
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Country | US
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Telephone | 910-947-3000
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Fax | 910-947-6798
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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 | 200816
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License Number State | NC
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