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General NPI Number Information
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NPI Number | 1427259662
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Entity Type | Individual
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Provider Name | DEBRA L. HALL CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | BUILDING 301 ANDREWS AVE
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City | FT. RUCKER
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State | AL
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Zip | 36362-5333
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Country | US
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Telephone | 334-255-7755
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Fax | 334-255-7439
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Provider Business Mailing Address
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Address Line | 111 OAKMONT LN
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City | DOTHAN
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State | AL
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Zip | 36301-5939
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Country | US
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Telephone |
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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 | HAL1-0429-1173
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License Number State | AL
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