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General NPI Number Information
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NPI Number | 1053573246
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Entity Type | Individual
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Provider Name | HOLLY MARIE HALL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2008
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 1740 NICHOLASVILLE RD
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City | LEXINGTON
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State | KY
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Zip | 40503-1431
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Country | US
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Telephone | 859-260-6100
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Fax | 859-260-4350
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Provider Business Mailing Address
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Address Line | 799 E BRANNON RD
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-6038
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Country | US
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Telephone | 859-971-4670
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Fax | 859-971-4604
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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 | 42099
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License Number State | KY
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