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General NPI Number Information
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NPI Number | 1114223179
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Entity Type | Individual
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Provider Name | KELLY HALE COURT PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | PO BOX 555677
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5677
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Country | US
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Telephone | 609-284-4863
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 561 BOX 2736
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City | FPO
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State | AP
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Zip | 96310-0028
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 747
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License Number State | WY
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