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General NPI Number Information
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NPI Number | 1891074282
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Entity Type | Individual
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Provider Name | TERRI LYNN HALL APRN
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Gender | Female
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 113 FRANK ST
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City | STAFFORDSVILLE
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State | KY
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Zip | 41256-9098
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Country | US
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Telephone | 606-886-7480
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Fax | 606-886-7573
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Provider Business Mailing Address
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Address Line | 520 N MAYO TRL STE 3
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City | PAINTSVILLE
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State | KY
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Zip | 41240-1811
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Country | US
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Telephone | 606-886-7480
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Fax | 606-886-7573
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3007069
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License Number State | KY
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