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General NPI Number Information
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NPI Number | 1659938561
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Entity Type | Individual
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Provider Name | ASHLEY BALLOU
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Gender | Female
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Dates
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Enumeration Date | 05/27/2019
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 7544 FM 1960 RD E # 314
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City | HUMBLE
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State | TX
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Zip | 77346-3127
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Country | US
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Telephone | 281-572-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 7544 FM 1960 RD E # 314
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City | HUMBLE
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State | TX
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Zip | 77346-3127
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Country | US
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Telephone | 281-572-5565
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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 | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | 115513
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225XH1300X
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Taxonomy Name | Human Factors Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 115513
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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