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General NPI Number Information
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NPI Number | 1750582979
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Entity Type | Individual
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Provider Name | STEPHANIE HALL D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 410 CELEBRATION PL STE 200
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City | CELEBRATION
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State | FL
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Zip | 34747-5432
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Country | US
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Telephone | 407-303-5380
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Fax |
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Provider Business Mailing Address
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Address Line | 410 CELEBRATION PL STE 200
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City | CELEBRATION
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State | FL
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Zip | 34747-5432
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Country | US
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Telephone | 407-303-4220
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 4299
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 4299
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License Number State | OK
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