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General NPI Number Information
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NPI Number | 1023105897
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Entity Type | Organization
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Legal Business Name | JOHN H HALL JR MD PA
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1305 W WENDOVER AVENUE STE D
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-333-9111
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Fax | 336-333-2042
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Provider Business Mailing Address
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Address Line | 1305 W WENDOVER AVENUE STE D
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-333-9111
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Fax | 336-333-2042
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN H HALL JR.
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Credential | MD
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Telephone | 336-333-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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