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General NPI Number Information
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NPI Number | 1710276340
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Entity Type | Individual
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Provider Name | ROBERT THOMSON BALL JR. MD MPH FACP
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Gender | Male
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4050 BRIDGE VIEW DRIVE #600- SC DHEC
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-7464
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Country | US
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Telephone | 843-953-0042
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Fax | 843-953-0051
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Provider Business Mailing Address
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Address Line | 4050 BRIDGE VIEW DRIVE #600 SC DEPARTMENT OF HEALTH & ENVIRONMENTAL CONTROL (DHEC)
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-7464
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Country | US
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Telephone | 843-953-0042
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Fax | 843-953-0051
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | SC 7420
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License Number State | SC
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