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General NPI Number Information
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NPI Number | 1437160611
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Entity Type | Individual
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Provider Name | WARREN NESBITT HALL R.PH., MCG, BCPP
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 S 1ST ST
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City | TEMPLE
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State | TX
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Zip | 76504-7451
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Country | US
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Telephone | 800-423-2111
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Fax | 254-743-0020
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Provider Business Mailing Address
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Address Line | 1100 EVENING SUN LN
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City | MC GREGOR
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State | TX
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Zip | 76657-9733
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Country | US
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Telephone | 800-423-2111
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Fax | 254-743-0020
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 25562
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License Number State | TX
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