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General NPI Number Information
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NPI Number | 1396041125
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Entity Type | Individual
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Provider Name | CRYSTAL D HALL LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 2150 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-1337
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Country | US
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Telephone | 916-875-1000
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Fax | 916-875-0192
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Provider Business Mailing Address
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Address Line | 6615 VALLEY HI DR STE A
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City | SACRAMENTO
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State | CA
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Zip | 95823-7076
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Country | US
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Telephone | 916-681-6300
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Fax | 916-681-6354
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 71914
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 89454
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License Number State | CA
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