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General NPI Number Information
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NPI Number | 1891055083
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Entity Type | Individual
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Provider Name | TERI CATHERINE HALL PHARM D
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Gender | Female
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 1040 DALE MABRY HWY
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City | LUTZ
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State | FL
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Zip | 33548-3004
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Country | US
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Telephone | 813-435-2934
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Fax |
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Provider Business Mailing Address
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Address Line | 575 LAKEWOOD DR
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City | OLDSMAR
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State | FL
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Zip | 34677-5503
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Country | US
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Telephone | 727-244-5852
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03224828
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS37615
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License Number State | FL
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