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General NPI Number Information
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NPI Number | 1598404253
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Entity Type | Individual
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Provider Name | BRETT HALL
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Gender | Male
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 995 HARDY RD
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City | VINTON
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State | VA
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Zip | 24179-3643
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Country | US
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Telephone | 540-728-0986
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Fax |
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Provider Business Mailing Address
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Address Line | 7226B WILLIAMSON RD
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City | ROANOKE
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State | VA
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Zip | 24019-4264
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305214994
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License Number State | VA
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