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General NPI Number Information
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NPI Number | 1346331832
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Entity Type | Individual
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Provider Name | ANN BERGIN HALL ED.D.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 3435 10TH ST N SUITE 303
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City | NAPLES
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State | FL
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Zip | 34103-3815
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Country | US
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Telephone | 239-434-2425
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Fax |
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Provider Business Mailing Address
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Address Line | 70-71 N. PARISH RD. LHS
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City | LAWRENCE
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State | MA
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Zip | 01841
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Country | US
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Telephone | 978-722-8471
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | MA8579
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY4390
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License Number State | FL
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