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General NPI Number Information
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NPI Number | 1700671047
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Entity Type | Individual
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Provider Name | DEENA BALLS CNM
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 2245 N 400 E STE 201
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City | NORTH LOGAN
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State | UT
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Zip | 84341-1891
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Country | US
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Telephone | 435-787-7001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 76
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City | CLARKSTON
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State | UT
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Zip | 84305-0076
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Country | US
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Telephone | 435-512-4747
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Fax | 435-512-4747
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 9039254-4402
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License Number State | UT
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