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NPI Code Detail

MEDICARE: MS. TAEA HALL

MEDICARE: MS. TAEA HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11002936FL

General Provider Information

NPI Number : 1538774971
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAEA HALL
Provider Business Mailing Address
First Line : 168 N POWERLINE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-5713
Country : US
Telephone Number : 954-970-8805
Fax Number :
Provider Business Practice Location Address
First Line : 168 N POWERLINE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-5713
Country : US
Telephone Number : 954-970-8805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2020
Last Update Date : 10/10/2023

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Directions to “ MS. TAEA HALL ” Practice Location

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