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General NPI Number Information
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NPI Number | 1750199162
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Entity Type | Individual
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Provider Name | SHAUNA HALL
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Gender | Female
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 8460 PARSONS BLVD
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City | JAMAICA
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State | NY
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Zip | 11432-2544
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Country | US
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Telephone | 718-298-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 318 54TH ST APT 1B
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-6865
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Country | US
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Telephone | 347-574-3754
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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