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General NPI Number Information
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NPI Number | 1588036909
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Entity Type | Individual
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Provider Name | CARRIE SUE HALL ARNP, FNP-C, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2015
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 2786 FAIRVIEW AVE N
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City | ROSEVILLE
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State | MN
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Zip | 55113-1306
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Country | US
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Telephone | 763-412-1993
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Fax | 888-972-8341
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Provider Business Mailing Address
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Address Line | 2786 FAIRVIEW AVE N
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City | ROSEVILLE
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State | MN
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Zip | 55113-1306
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Country | US
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Telephone | 763-412-1993
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Fax | 888-972-8341
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L68365
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61579680
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License Number State | WA
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