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General NPI Number Information
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NPI Number | 1093203978
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Entity Type | Individual
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Provider Name | ADRIAN HALL MS,CAT,LPC,MHSP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 4980 LAST RUN DR
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City | MEMPHIS
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State | TN
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Zip | 38125-1570
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Country | US
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Telephone | 901-219-3028
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Fax | 833-669-1625
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Provider Business Mailing Address
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Address Line | 4980 LAST RUN LANE
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City | MEMPHIS
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State | TN
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Zip | 38125
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Country | US
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Telephone | 901-219-3028
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0734007190
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2891
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License Number State | MS
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