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General NPI Number Information
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NPI Number | 1568103513
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Entity Type | Individual
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Provider Name | MOLLY KATHLEEN HALL MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1885 S JENKINS RD
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City | MILLTOWN
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State | IN
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Zip | 47145-7307
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Country | US
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Telephone | 260-413-8499
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Fax |
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Provider Business Mailing Address
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Address Line | 4510 CHARLESTOWN RD STE 239
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City | NEW ALBANY
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State | IN
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Zip | 47150-8513
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Country | US
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Telephone | 812-612-8273
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Fax | 812-356-6231
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33008440A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34009753A
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License Number State | IN
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