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General NPI Number Information
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NPI Number | 1275985491
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Entity Type | Individual
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Provider Name | CASEY HALL LPC, LMFT-S
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 622 ALCOA RD
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City | BENTON
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State | AR
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Zip | 72015-3404
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Country | US
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Telephone | 501-205-4570
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Fax | 877-728-0820
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Provider Business Mailing Address
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Address Line | 622 ALCOA RD
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City | BENTON
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State | AR
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Zip | 72015-3404
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Country | US
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Telephone | 918-809-2509
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Fax | 877-728-0820
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M1701012
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P1607084
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License Number State | AR
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