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General NPI Number Information
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NPI Number | 1790624963
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Entity Type | Individual
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Provider Name | MELISSA HALL
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Gender | Female
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 503 MORGANTOWN AVE STE 120
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City | FAIRMONT
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State | WV
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Zip | 26554-4384
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Country | US
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Telephone | 304-363-7375
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Fax | 304-472-0395
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Provider Business Mailing Address
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Address Line | 171 HICKORY VIEW WAY APT 103
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City | SHINNSTON
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State | WV
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Zip | 26431-1192
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Country | US
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Telephone | 304-871-4018
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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