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General NPI Number Information
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NPI Number | 1851551972
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Entity Type | Individual
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Provider Name | ROBERT BALLOUGH P.A.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 94 CONNECTICUT BLVD
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3013
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Country | US
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Telephone | 860-528-1359
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Fax |
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Provider Business Mailing Address
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Address Line | 4 FARM CT
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City | WALLINGFORD
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State | CT
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Zip | 06492-3251
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Country | US
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Telephone | 203-376-1863
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 002079
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License Number State | CT
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