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General NPI Number Information
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NPI Number | 1629628565
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Entity Type | Individual
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Provider Name | CHAD WAYNE BALL NP
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Gender | Male
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 800 GARFIELD AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-5340
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Country | US
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Telephone | 304-424-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 2039 19TH AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-9378
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Country | US
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Telephone | 740-516-8148
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0030032
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 104506
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License Number State | WV
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