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General NPI Number Information
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NPI Number | 1083507743
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Entity Type | Individual
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Provider Name | KIANA HALL
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 301 FISHER ST
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City | KEESLER AFB
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-0449
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Fax |
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Provider Business Mailing Address
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Address Line | 805 RYE MOON CV
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City | CIBOLO
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State | TX
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Zip | 78108-3264
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11381
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | R-368-TA-D91
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License Number State | AL
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