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General NPI Number Information
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NPI Number | 1992501902
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Entity Type | Individual
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Provider Name | KAYLA RAE HALL APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 17721 KY ROUTE 122
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City | HI HAT
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State | KY
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Zip | 41636-6235
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Country | US
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Telephone | 606-949-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 56 SUGAR MAPLE LN
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City | HAROLD
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State | KY
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Zip | 41635-9132
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Country | US
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Telephone | 606-424-4161
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4028972
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License Number State | KY
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