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General NPI Number Information
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NPI Number | 1962148668
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Entity Type | Organization
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Legal Business Name | JANE HALL ALSTON NP IN ADULT HEALTH PLLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 300 E OVERLOOK
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-4730
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Country | US
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Telephone | 516-220-0284
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 NORTHERN BLVD STE 404
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City | MANHASSET
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State | NY
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Zip | 11030-3022
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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 | OWNER
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Name | JANE HALL
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Credential | NP
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Telephone | 516-200-0284
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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 |
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License Number State |
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