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General NPI Number Information
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NPI Number | 1457789679
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Entity Type | Individual
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Provider Name | STEPHANIE LEIGH HALL DVM
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Gender | Female
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Dates
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Enumeration Date | 10/25/2013
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 741 MONROE DR NE
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City | ATLANTA
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State | GA
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Zip | 30308-1701
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Country | US
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Telephone | 404-817-6601
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Fax |
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Provider Business Mailing Address
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Address Line | 11720 LEEWARD WALK CIR
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City | ALPHARETTA
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State | GA
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Zip | 30005-7482
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Country | US
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Telephone | 470-725-4218
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 5706
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 008899
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License Number State | GA
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