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General NPI Number Information
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NPI Number | 1013692821
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Entity Type | Individual
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Provider Name | LISA MARIE HALL MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 605 MAN O WAR BLVD
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City | UNION
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State | KY
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Zip | 41091-2017
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Country | US
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Telephone | 859-578-5667
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Fax | 859-384-0321
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-6324
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Country | US
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Telephone | 859-578-5667
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Fax | 859-384-0321
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3016412
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0033470
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License Number State | OH
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