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General NPI Number Information
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NPI Number | 1659648640
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Entity Type | Individual
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Provider Name | MRS. GAIL LOUISE HALL
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Gender | Female
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Dates
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Enumeration Date | 11/19/2011
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | 3 CENTER ST SPENCER VAN ETTEN MIDDLE SCHOOL
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City | SPENCER
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State | NY
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Zip | 14883
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Country | US
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Telephone | 607-589-7128
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Fax | 607-589-3003
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Provider Business Mailing Address
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Address Line | 282 LANGFORD CREEK RD
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City | VAN ETTEN
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State | NY
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Zip | 14889-9414
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Country | US
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Telephone | 607-589-4211
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Fax | 607-589-3003
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 287054-1
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License Number State | NY
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