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General NPI Number Information
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NPI Number | 1811240518
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Entity Type | Individual
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Provider Name | ANGELA KAKALEY HALL PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 1050 CARIBBEAN WAY RM 137
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City | MIAMI
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State | FL
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Zip | 33132-2028
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Country | US
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Telephone | 305-982-2463
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Fax |
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Provider Business Mailing Address
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Address Line | 3821 NE 31ST AVE
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-8432
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110004576
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9106417
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License Number State | FL
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