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General NPI Number Information
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NPI Number | 1740162734
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Entity Type | Individual
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Provider Name | KESLER BALLEW
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 7436 FOREST CT STE 102
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City | IRMO
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State | SC
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Zip | 29063-2856
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Country | US
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Telephone | 803-358-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 301 CHARING CROSS RD
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City | IRMO
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State | SC
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Zip | 29063-2325
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Country | US
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Telephone | 803-727-4904
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10521
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License Number State | SC
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