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General NPI Number Information
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NPI Number | 1891293627
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Entity Type | Individual
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Provider Name | DANIELLE L HALE CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 859 WINTER ST
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City | LUCEDALE
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State | MS
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Zip | 39452-6603
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Country | US
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Telephone | 601-947-3161
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Fax |
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Provider Business Mailing Address
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Address Line | 51 TACON ST STE D
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City | MOBILE
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State | AL
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Zip | 36607-3123
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Country | US
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Telephone | 251-341-2879
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1-130099
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 901938
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License Number State | MS
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