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General NPI Number Information
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NPI Number | 1861218406
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Entity Type | Individual
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Provider Name | SHEENA HALL CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 1848 ROSSVILLE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37408-1932
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Country | US
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Telephone | 423-551-6555
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Fax | 256-304-5456
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Provider Business Mailing Address
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Address Line | 510 COUNTY ROAD 797
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City | VALLEY HEAD
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State | AL
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Zip | 35989-5028
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Country | US
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Telephone | 256-997-3256
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1-179965
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License Number State | AL
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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 | 37783
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License Number State | TN
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