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1972847432 NPI number — STEPHANIE J. HALL PA-C

NPI Number: 1972847432
Health Care Provider/Practitioner: STEPHANIE J. HALL PA-C

Information about “1972847432” NPI (STEPHANIE J. HALL PA-C) exists in 1972847432 in HTML format HTML  |  1972847432 in plain Text format TXT  |  1972847432 in PDF (Portable Document Format) PDF  |  1972847432 in an XML format XML  formats.

NPI Number : 1972847432 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972847432",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HALL",
    "FirstName": "STEPHANIE",
    "MiddleName": "J.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JONES",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": "A.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 751649",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28275-1649",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-789-1620",
    "MailingAddressFaxNumber": "843-724-2440",
    "FirstLinePracticeLocationAddress": "316 CALHOUN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHARLESTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29401-1113",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-720-8490",
    "PracticeLocationAddressFaxNumber": "843-727-3602",
    "EnumerationDate": "11/21/2012",
    "LastUpdateDate": "04/26/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": "1851",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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