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General NPI Number Information
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NPI Number | 1669501300
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Entity Type | Individual
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Provider Name | JEBEDIAH MORGAN HALL M.A.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 857 JEFFERSON ST
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City | RED BLUFF
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State | CA
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Zip | 96080-2721
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Country | US
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Telephone | 530-209-8481
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 LINCOLN ST
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City | RED BLUFF
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State | CA
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Zip | 96080-3125
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Country | US
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Telephone | 530-526-4047
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Fax | 530-526-4047
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT112513
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License Number State | CA
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