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General NPI Number Information
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NPI Number | 1730590910
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Entity Type | Individual
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Provider Name | FELICIA HALL
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Gender | Female
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Dates
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Enumeration Date | 05/09/2014
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 11930 DEMOCRACY DR
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City | RESTON
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State | VA
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Zip | 20190-5624
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Country | US
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Telephone | 888-663-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 27 SAINT CHARLES CT
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City | STAFFORD
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State | VA
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Zip | 22556-3671
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Country | US
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Telephone | 954-826-0096
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9249228
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License Number State | FL
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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 | 0024175224
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License Number State | VA
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