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NPI 1720138118

NPI 1720138118 : LINDA G HALL DPH : CROSSVILLE, TN

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General NPI Number Information
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    NPI Number           |    1720138118
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA G HALL DPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/10/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    265 HIGHLAND SQ 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38555-5105
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    Country              |    US
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    Telephone            |    931-456-7647
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1085 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38557-1085
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    Country              |    US
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    Telephone            |    931-484-9229
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    1481
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    License Number State |    TN
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