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General NPI Number Information
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NPI Number | 1760132708
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Entity Type | Individual
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Provider Name | DAKOTA BALL
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Gender | Female
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 635 W MAIN ST
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City | LEBANON
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State | VA
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Zip | 24266-3809
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Country | US
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Telephone | 276-415-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 14570 U S HIGHWAY 19
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City | LEBANON
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State | VA
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Zip | 24266-6624
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Country | US
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Telephone | 276-794-2703
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305212477
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License Number State | VA
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