{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES T HALL DDS PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1719",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUNTINGTON",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25718-1719",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-525-6441",
"MailingAddressFaxNumber": "304-525-3380",
"FirstLinePracticeLocationAddress": "2547 THIRD AVENUE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUNTINGTON",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25703-1642",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-525-6441",
"PracticeLocationAddressFaxNumber": "304-525-4802",
"EnumerationDate": "09/12/2007",
"LastUpdateDate": "07/19/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALL",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "DENTIST OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "304-525-6441",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "WV2543",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "122300000X",
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"LicenseNumber": "WV3628",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
]
}
}
}