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General NPI Number Information
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NPI Number | 1972475945
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Entity Type | Individual
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Provider Name | BRIELLE HALL
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Gender | Female
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2320 N COLORADO AVE
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City | FREMONT
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State | NE
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Zip | 68025-2286
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Country | US
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Telephone | 402-721-7710
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Fax | 402-721-7712
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Provider Business Mailing Address
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Address Line | 2320 N COLORADO AVE
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City | FREMONT
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State | NE
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Zip | 68025-2286
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Country | US
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Telephone | 402-721-7710
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Fax | 402-721-7712
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 1225
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License Number State | NE
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