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General NPI Number Information
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NPI Number | 1649710369
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Entity Type | Individual
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Provider Name | DANIEL HALL AQPRN
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Gender | Male
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 04/08/2023
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Provider Practice Location Address
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Address Line | 2308 OK-66
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City | STROUD
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State | OK
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Zip | 74079
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Country | US
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Telephone | 918-968-3579
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 N PORTLAND AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-6121
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Country | US
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Telephone | 405-604-8355
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 103177
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License Number State | OK
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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 | 103177
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License Number State | OK
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