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General NPI Number Information
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NPI Number | 1679243943
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Entity Type | Individual
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Provider Name | KORI KAY HALL MSN, APRN-CNP, RN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 707 W BEEBE CAPPS EXPY
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City | SEARCY
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State | AR
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Zip | 72143-6303
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Country | US
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Telephone | 501-278-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 110 ANSELMI RD
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City | BALD KNOB
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State | AR
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Zip | 72010-9682
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Country | US
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Telephone | 501-278-7727
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 213178
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License Number State | AR
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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 | 213178
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License Number State | AR
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