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NPI 1609658632

NPI 1609658632 : DR. REBECCA HALL : ALPHARETTA, GA

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General NPI Number Information
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    NPI Number           |    1609658632
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    Entity Type          |    Individual 
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    Provider Name        |    DR. REBECCA HALL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/16/2023
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    Last Update Date     |    10/16/2023
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Provider Practice Location Address
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    Address Line         |    1122 CAMBRIDGE SQ 
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    City                 |    ALPHARETTA
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    State                |    GA
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    Zip                  |    30009-1858
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    Country              |    US
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    Telephone            |    678-585-1383
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4866 TRILOGY PARK TRL 
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    City                 |    HOSCHTON
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    State                |    GA
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    Zip                  |    30548-6250
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    Country              |    US
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    Telephone            |    404-374-5073
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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