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General NPI Number Information
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NPI Number | 1790023687
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Entity Type | Individual
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Provider Name | STEVEN EDWARD BALL PHD
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Gender | Male
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 4817 MEDICAL CENTER DR UNIT 3A
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City | MCKINNEY
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State | TX
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Zip | 75069-1886
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Country | US
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Telephone | 903-366-3263
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Fax | 214-548-4837
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Provider Business Mailing Address
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Address Line | 4817 MEDICAL CENTER DR UNIT 3A
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City | MCKINNEY
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State | TX
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Zip | 75069-1886
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Country | US
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Telephone | 903-366-3263
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Fax | 214-548-4837
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20911
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License Number State | TX
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