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General NPI Number Information
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NPI Number | 1346412178
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Entity Type | Individual
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Provider Name | ASHLEY BROOKE HALL MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 201 CYPRESS POINT CT
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City | RUSSELL
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State | KY
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Zip | 41169-1772
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Country | US
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Telephone | 606-923-8846
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 789
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City | ASHLAND
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State | KY
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Zip | 41105-0789
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Country | US
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Telephone | 606-923-8846
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | TP802
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.139112
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 46033
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License Number State | KY
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