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General NPI Number Information
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NPI Number | 1366126336
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Entity Type | Individual
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Provider Name | HALLE JO MAGEE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 1705 OHIO DR STE 100
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City | PLANO
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State | TX
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Zip | 75093-5256
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Country | US
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Telephone | 972-612-0430
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Fax | 844-585-6193
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Provider Business Mailing Address
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Address Line | 1705 OHIO DR STE 100
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City | PLANO
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State | TX
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Zip | 75093-5256
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Country | US
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Telephone | 972-612-0430
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Fax | 844-585-6193
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA17235
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License Number State | TX
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