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General NPI Number Information
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NPI Number | 1962926097
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Entity Type | Individual
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Provider Name | STEPHANIE HALL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 553 E MANHATTAN BLVD
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City | TOLEDO
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State | OH
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Zip | 43608-1216
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Country | US
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Telephone | 719-219-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N. GRAYTOWN RD
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City | GRAYTOWN
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State | OH
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Zip | 43432
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Country | US
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Telephone | 419-271-4495
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | APRN.CNP.021379
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN.CNP.021379
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 021379
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License Number State | OH
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