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General NPI Number Information
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NPI Number | 1811590573
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Entity Type | Individual
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Provider Name | ANNA HALL
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Gender | Female
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FERRY RD
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City | ATLANTA
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State | GA
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Zip | 30342-1606
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Country | US
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Telephone | 404-851-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 235 BORDER RD
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City | GOOSE CREEK
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State | SC
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Zip | 29445-9643
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Country | US
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Telephone | 678-833-8406
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 249455
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 27346
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License Number State | SC
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