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General NPI Number Information
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NPI Number | 1265930291
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Entity Type | Individual
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Provider Name | VIRON HALE PT, DPT, ATC,CSCS
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Gender | Male
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 7505 NC 73 HWY STE D&E
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City | DENVER
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State | NC
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Zip | 28037-9224
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Country | US
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Telephone | 704-587-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 95 ARGYLE AVE
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City | AMHERST
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State | NY
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Zip | 14226-4202
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Country | US
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Telephone | 716-430-5106
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 050616
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 003338
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P23940
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License Number State | NC
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