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General NPI Number Information
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NPI Number | 1013102037
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Entity Type | Organization
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Legal Business Name | JAMES T HALL DDS PLLC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 2547 THIRD AVENUE
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City | HUNTINGTON
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State | WV
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Zip | 25703-1642
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Country | US
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Telephone | 304-525-6441
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Fax | 304-525-4802
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Provider Business Mailing Address
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Address Line | PO BOX 1719
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City | HUNTINGTON
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State | WV
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Zip | 25718-1719
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Country | US
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Telephone | 304-525-6441
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Fax | 304-525-3380
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | MR. JAMES T HALL
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Credential | DDS
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Telephone | 304-525-6441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | WV2543
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | WV3628
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License Number State | WV
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