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General NPI Number Information
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NPI Number | 1871274100
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Entity Type | Individual
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Provider Name | MAIAH HALL CNM, ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 660 SW 39TH ST STE 150
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City | RENTON
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State | WA
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Zip | 98057-4912
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Country | US
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Telephone | 425-690-3481
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Fax |
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Provider Business Mailing Address
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Address Line | 510 STEVENS AVE SW APT R206
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City | RENTON
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State | WA
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Zip | 98057-5879
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Country | US
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Telephone | 541-728-8349
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61567258
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61179739
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP61567258
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License Number State | WA
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