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General NPI Number Information
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NPI Number | 1396940367
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Entity Type | Individual
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Provider Name | ANGELA MARIE HALL WHNP
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 226 S WOODS MILL RD SUITE 60 WEST
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City | CHESTERFIELD
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State | MO
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Zip | 63017
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Country | US
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Telephone | 314-878-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 HUNTERS CREST DR
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City | WILDWOOD
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State | MO
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Zip | 63038-1551
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Country | US
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Telephone | 314-853-9244
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2001027621
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License Number State | MO
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