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NPI Code Detail

MEDICARE: MONIQUE HALE

MEDICARE:   MONIQUE  HALE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse098425OH

General Provider Information

NPI Number : 1255828653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE HALE
Provider Business Mailing Address
First Line : 6556 MAPLEWOOD RD APT 204
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-1933
Country : US
Telephone Number : 216-882-2857
Fax Number :
Provider Business Practice Location Address
First Line : 6556 MAPLEWOOD RD APT 204
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-1933
Country : US
Telephone Number : 216-882-2857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2018
Last Update Date : 04/20/2018

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Directions to “ MONIQUE HALE ” Practice Location

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