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General NPI Number Information
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NPI Number | 1053669093
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Entity Type | Individual
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Provider Name | META HALL
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Gender | Female
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Dates
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Enumeration Date | 08/23/2012
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 75 BROAD ST RM 815
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City | NEW YORK
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State | NY
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Zip | 10004-3233
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Country | US
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Telephone | 615-823-7608
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Fax |
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Provider Business Mailing Address
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Address Line | 4205 ALDEBARAN WAY
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City | MOBILE
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State | AL
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Zip | 36693-4605
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Country | US
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Telephone | 251-661-3707
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-077462
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License Number State | AL
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