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Individual
SAMUEL MATTHEWS HALE
Active
Individual
SAMUEL MATTHEWS HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
221
TN
224P00000X
Prosthetist
120
GA
224P00000X
Prosthetist
Primary
200
TN
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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