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NPI Code Detail

MEDICARE: NICHOLAS HALL

MEDICARE: NICHOLAS HALL
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
1104100000XSocial Worker135355CA
2225400000XRehabilitation Practitioner
3171M00000XCase Manager/Care CoordinatorCA
41041C0700XClinical Social Worker135355CA

General Provider Information

NPI Number : 1437605904
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS HALL
Provider Business Mailing Address
First Line : 1907 BOYS REPUBLIC DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5447
Country : US
Telephone Number : 909-628-1217
Fax Number :
Provider Business Practice Location Address
First Line : 1907 BOYS REPUBLIC DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5447
Country : US
Telephone Number : 909-628-1217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2016
Last Update Date : 12/03/2025

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Directions to “ NICHOLAS HALL ” Practice Location

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