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General NPI Number Information
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NPI Number | 1841499803
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Entity Type | Organization
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Legal Business Name | BALL CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 10468 SAN PABLO AVE
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City | EL CERRITO
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State | CA
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Zip | 94530-2829
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Country | US
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Telephone | 510-525-8611
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Fax | 510-525-2349
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Provider Business Mailing Address
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Address Line | 10468 SAN PABLO AVE
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City | EL CERRITO
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State | CA
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Zip | 94530-2829
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Country | US
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Telephone | 510-525-8611
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Fax | 510-525-2349
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC/CO-OWNER
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Name | DR. CAROL L BALL
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Credential | D.C.
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Telephone | 510-525-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CA 14620
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 14546
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License Number State | CA
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