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General NPI Number Information
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NPI Number | 1285454413
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Entity Type | Individual
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Provider Name | DANIELLE HALL
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Gender | Female
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 4240 BETHEL RD STE 201
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-8737
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Country | US
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Telephone | 901-763-0200
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Fax | 901-761-4002
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Provider Business Mailing Address
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Address Line | 1211 UNION AVE STE 330
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City | MEMPHIS
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State | TN
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Zip | 38104-6655
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Country | US
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Telephone |
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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 | 907921
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 40218
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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