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General NPI Number Information
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NPI Number | 1124681622
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Entity Type | Individual
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Provider Name | GINA MARIE HALL APRN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 120 N RICHARD JACKSON BLVD STE 140
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2522
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Country | US
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Telephone | 850-532-6168
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Fax | 850-249-5107
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Provider Business Mailing Address
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Address Line | 120 N RICHARD JACKSON BLVD STE 140
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2522
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Country | US
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Telephone | 850-532-6168
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Fax | 850-249-5107
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11002183
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License Number State | FL
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