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General NPI Number Information
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NPI Number | 1588936157
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Entity Type | Individual
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Provider Name | BETTY JEAN HALLMON DHSC MS RDN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 10/04/2017
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Provider Practice Location Address
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Address Line | 8231 PRINCETON SQUARE BLVD WEST #515
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City | JACKSONVILLE
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State | FL
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Zip | 32256
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Country | US
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Telephone | 954-599-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 8231 PRINCETON SQUARE BLVD WEST #515
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City | JACKSONVILLE
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State | FL
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Zip | 32256
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Country | US
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Telephone | 904-382-3351
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND2765
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License Number State | FL
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