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General NPI Number Information
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NPI Number | 1871993196
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Entity Type | Individual
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Provider Name | MICHELLE HALL MS, LGC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 12621 ECKEL JUNCTION RD
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City | PERRYSBURG
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State | OH
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Zip | 43551-1304
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Country | US
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Telephone | 567-368-1581
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Fax |
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Provider Business Mailing Address
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Address Line | 7128 E TOWNSHIP ROAD 106
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City | REPUBLIC
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State | OH
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Zip | 44867-9752
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 7.000140
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License Number State | OH
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