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General NPI Number Information
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NPI Number | 1629378401
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Entity Type | Individual
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Provider Name | DONITA LYNN HALL RN, MSN, APRN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 3525 S NATIONAL AVE STE 207
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7315
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Country | US
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Telephone | 417-269-9220
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Fax | 417-269-9229
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Provider Business Mailing Address
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Address Line | PO BOX 4046
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City | SPRINGFIELD
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State | MO
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Zip | 65808-4046
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Country | US
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Telephone | 417-269-5712
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Fax | 417-269-7567
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 53-75237-102
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License Number State | KS
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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 | 2011001350
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5375237102
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2011001350
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License Number State | MO
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