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General NPI Number Information
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NPI Number | 1669933461
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Entity Type | Individual
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Provider Name | ELLEN WILLS BALL APN-FNP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 850 PETER BRYCE BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-7457
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Country | US
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Telephone | 205-348-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 625 CANYON CIR N
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2166
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Country | US
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Telephone | 901-463-0144
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-197519
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License Number State | AL
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