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General NPI Number Information
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NPI Number | 1780324442
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Entity Type | Individual
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Provider Name | VANCE R HALE AGPCNP
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Gender | Male
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1820 E SAHARA AVE STE 201
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City | LAS VEGAS
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State | NV
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Zip | 89104-3721
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Country | US
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Telephone | 702-979-1111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1000, DEPT 394
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 941-300-4440
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Fax | 941-404-1760
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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 | 67636
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1074020
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 29979
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11033371
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 321340
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024192139
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1074020
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 8559879
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License Number State | NV
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