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General NPI Number Information
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NPI Number | 1306237888
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Entity Type | Individual
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Provider Name | JANELLE HALL CST, CPHT
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Gender | Female
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 13301 GATEWAY CENTER DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-2984
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Country | US
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Telephone | 571-261-5061
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Fax |
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Provider Business Mailing Address
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Address Line | 5707 JANNEYS MILL CIR
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City | HAYMARKET
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State | VA
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Zip | 20169-6197
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Country | US
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Telephone | 703-229-3209
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 0230022923
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License Number State | VA
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