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General NPI Number Information
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NPI Number | 1104537117
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Entity Type | Individual
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Provider Name | VERONICA HALL PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 350 W CATALINA DR
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City | YUMA
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State | AZ
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Zip | 85364-8112
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Country | US
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Telephone | 805-522-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 480 S SCHUSTER DR
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City | SPRINGERVILLE
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State | AZ
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Zip | 85938-5321
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Country | US
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Telephone | 928-245-7043
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9989
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License Number State | AZ
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