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General NPI Number Information
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NPI Number | 1023399565
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Entity Type | Individual
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Provider Name | DONALD L HALL LCADC
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Gender | Male
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 6190 GEORGETOWN BLVD SUITE 105
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City | ELDERSBURG
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State | MD
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Zip | 21784-6460
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Country | US
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Telephone | 410-552-9004
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Fax | 410-552-9003
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Provider Business Mailing Address
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Address Line | 101 MORGNEC RD APT. I - 104
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1030
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Country | US
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Telephone | 410-282-0585
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCA055
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License Number State | MD
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