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General NPI Number Information
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NPI Number | 1740745637
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Entity Type | Individual
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Provider Name | SAVANNAH CLAIRE MORGAN BALLARD PT, DPT, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 660 MCQUEEN SMITH RD N STE H
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City | PRATTVILLE
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State | AL
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Zip | 36066-7559
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Country | US
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Telephone | 334-350-3362
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Fax |
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Provider Business Mailing Address
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Address Line | 16395 MCKENZIE GRADE
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City | GEORGIANA
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State | AL
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Zip | 36033-5822
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Country | US
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Telephone | 334-429-2188
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH11957
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License Number State | AL
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