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General NPI Number Information
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NPI Number | 1164752382
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Entity Type | Individual
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Provider Name | HANNAH WILLIS HALE CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 245 GOVERNORS DR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-2700
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Country | US
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Telephone | 256-265-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 30 BURTON HILLS BLVD STE 175
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City | NASHVILLE
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State | TN
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Zip | 37215-6403
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Country | US
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Telephone | 615-988-2014
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Fax | 615-208-1303
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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 | 1-092703
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License Number State | AL
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