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General NPI Number Information
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NPI Number | 1407586324
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Entity Type | Individual
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Provider Name | COURTNEY SI'ERRA HALL MSW, LCSWA, CD(DONA)
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 331 MARTIN LUTHER KING JR DR UNIT B
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City | GREENSBORO
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State | NC
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Zip | 27406-1620
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Country | US
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Telephone | 336-638-1907
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Fax |
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Provider Business Mailing Address
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Address Line | 1907 BUCKMINSTER DR
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City | WHITSETT
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State | NC
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Zip | 27377-9335
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Country | US
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Telephone | 336-255-6858
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 1115425
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 12859
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P015934
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License Number State | NC
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