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General NPI Number Information
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NPI Number | 1912172206
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Entity Type | Individual
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Provider Name | DARLENE WELTON BALLEW M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 24810 BURNT PINE DR STE 2
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-1973
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Country | US
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Telephone | 239-462-4021
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Fax |
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Provider Business Mailing Address
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Address Line | 149 PLANTATION RIDGE DR STE 140
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City | MOORESVILLE
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State | NC
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Zip | 28117-9175
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Country | US
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Telephone | 704-360-4788
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Fax | 704-251-6746
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY 1221
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License Number State | FL
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