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General NPI Number Information
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NPI Number | 1235633009
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH HALL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 727 MEMORIAL DR
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City | BESSEMER
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State | AL
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Zip | 35022-6029
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Country | US
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Telephone | 205-332-3160
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Fax | 866-702-0880
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Provider Business Mailing Address
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Address Line | 3070 SUMMIT DR
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City | FULTONDALE
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State | AL
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Zip | 35068-6013
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Country | US
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Telephone | 205-650-0887
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2017018093
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License Number State | AL
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