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General NPI Number Information
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NPI Number | 1720264872
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Entity Type | Individual
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Provider Name | JANE MARIE HALL-ALSTON APRN,BC,ANP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 300 E OVERLOOK
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-4730
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Country | US
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Telephone | 516-220-0284
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Fax | 718-224-0694
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Provider Business Mailing Address
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Address Line | 10202 AVENUE RD
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City | PERRYSBURG
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State | OH
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Zip | 43551-2806
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Country | US
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Telephone | 440-351-9118
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Fax | 904-479-9575
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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 | F302659-1
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License Number State | NY
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