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General NPI Number Information
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NPI Number | 1295892768
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Entity Type | Individual
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Provider Name | TARA MICHELE FILES-HALL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 6977 PROFESSIONAL PARKWAY EAST
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City | SARASOTA
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State | FL
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Zip | 34240-8411
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Country | US
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Telephone | 941-224-8131
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Fax | 941-718-4896
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Provider Business Mailing Address
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Address Line | 6977 PROFESSIONAL PARKWAY EAST
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City | SARASOTA
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State | FL
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Zip | 34240-8411
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Country | US
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Telephone | 941-224-8131
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Fax | 941-718-4896
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6987
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License Number State | FL
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