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Individual

EDWIN TYLER HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2493
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051556584
AL
01
515-30241
BLUE CROSS BLUE SHIELD
AL
01
P00331773
MEDICARE RAILROAD
AL
Enumeration date
06/27/2006
Last updated
08/22/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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