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General NPI Number Information
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NPI Number | 1952325128
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Entity Type | Individual
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Provider Name | TIMOTHY PAUL BALLARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 9080 BEALE RD BLDG 62
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City | BETHESDA
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State | MD
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Zip | 20889-5633
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Country | US
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Telephone | 301-400-2365
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Fax |
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Provider Business Mailing Address
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Address Line | 4650 TAYLOR RD BLDG 17A
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City | BETHESDA
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State | MD
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Zip | 20889-5638
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Country | US
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Telephone | 301-295-6230
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A91683
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101284035
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME103249
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License Number State | FL
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