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Individual
TARA D HALL
Active
Individual
TARA D HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015106
PA
364SF0001X
Family Health Clinical Nurse Specialist
SP015106
PA
Other
Enumeration date
07/17/2015
Last updated
12/27/2018
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