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General NPI Number Information
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NPI Number | 1205998051
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Entity Type | Individual
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Provider Name | PATRICIA A HALL ED.S.
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 1501 SUMTER ST PALMETTO HEALTH COUNSELING
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City | COLUMBIA
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State | SC
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Zip | 29201-2829
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Country | US
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Telephone | 803-296-5879
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Fax | 803-296-5061
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Provider Business Mailing Address
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Address Line | 1501 SUMTER ST PALMETTO HEALTH COUNSELING
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City | COLUMBIA
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State | SC
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Zip | 29201-2829
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Country | US
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Telephone | 803-296-5879
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Fax | 803-296-5061
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4796
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4506
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License Number State | SC
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