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Individual
MARK HALL
Active
Individual
MARK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP, NPP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
307355
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401869
NY
Other
Enumeration date
10/22/2013
Last updated
05/07/2026
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