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General NPI Number Information
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NPI Number | 1053914986
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Entity Type | Individual
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Provider Name | GRAYSON REBECCA HALL
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Gender | Female
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Dates
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Enumeration Date | 11/22/2020
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1201 N MULDOON RD
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City | ANCHORAGE
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State | AK
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Zip | 99504-6104
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Country | US
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Telephone | 907-257-4854
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Fax |
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Provider Business Mailing Address
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Address Line | 8130 E 20TH AVE
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City | ANCHORAGE
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State | AK
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Zip | 99504-2818
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Country | US
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Telephone | 919-270-1681
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30124
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License Number State | NC
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