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General NPI Number Information
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NPI Number | 1639015589
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Entity Type | Individual
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Provider Name | ALEXIA BALL
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 3003 S KANSAS EXPY
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5969
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Country | US
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Telephone | 417-883-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 5445 S PARKHILL AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65810-2502
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Country | US
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Telephone | 417-597-2726
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2012025874
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | C74180
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License Number State | MO
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