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General NPI Number Information
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NPI Number | 1982176657
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Entity Type | Organization
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Legal Business Name | C B PODIATRIC SERVICES
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 108 CARDINAL DR
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City | CENTRAL CITY
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State | KY
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Zip | 42330-1728
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Country | US
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Telephone | 270-888-8121
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Fax |
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Provider Business Mailing Address
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Address Line | 108 CARDINAL DR
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City | CENTRAL CITY
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State | KY
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Zip | 42330-1728
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Country | US
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Telephone | 270-421-7754
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTIAN ERIC BALL
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Credential | DPM
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Telephone | 270-421-7754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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