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General NPI Number Information
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NPI Number | 1184993248
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Entity Type | Individual
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Provider Name | JOSEPH PATRICK HALL CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 100 W 4TH ST STE 310
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City | COOKEVILLE
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State | TN
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Zip | 38501-2474
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Country | US
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Telephone | 931-528-7877
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Fax | 931-526-3261
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Provider Business Mailing Address
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Address Line | 1026 SUGARLAND DR
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City | COOKEVILLE
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State | TN
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Zip | 38501-0959
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Country | US
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Telephone | 931-722-8367
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 128497
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License Number State | TN
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