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General NPI Number Information
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NPI Number | 1992656847
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Entity Type | Organization
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Legal Business Name | AMY MIA HALL PLLC
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 25 OFFICE PARK DR STE 2
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City | KILMARNOCK
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State | VA
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Zip | 22482-2805
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Country | US
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Telephone | 804-436-7201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28
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City | HEATHSVILLE
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State | VA
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Zip | 22473-0028
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Country | US
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Telephone | 804-436-7201
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY MIA HALL
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Credential | NP
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Telephone | 804-436-7201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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