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General NPI Number Information
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NPI Number | 1275044513
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Entity Type | Individual
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Provider Name | MEREDITH ELLEN HALL PA
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Gender | Female
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 412 N MAIN ST
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City | STURGIS
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State | KY
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Zip | 42459-1630
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Country | US
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Telephone | 270-374-4040
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Fax | 270-374-4045
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Provider Business Mailing Address
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Address Line | 412 N MAIN ST
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City | STURGIS
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State | KY
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Zip | 42459-1630
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Country | US
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Telephone | 270-374-4040
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Fax | 270-374-4045
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2324
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License Number State | KY
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