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General NPI Number Information
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NPI Number | 1346768330
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Entity Type | Individual
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Provider Name | SARAH MARIE HALL
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2321 E GALA ST STE 3
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City | MERIDIAN
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State | ID
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Zip | 83642-7692
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Country | US
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Telephone | 208-888-5848
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Fax | 208-888-0884
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Provider Business Mailing Address
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Address Line | 175 RIVERVIEW ST
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City | EAGLE
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State | ID
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Zip | 83616-4837
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Country | US
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Telephone | 702-508-1615
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Fax | 208-888-0884
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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 | ARNP9494778
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP61367
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP61367
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License Number State | ID
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