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General NPI Number Information
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NPI Number | 1053979039
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Entity Type | Individual
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Provider Name | JAMES ROBERT LISTON HALL MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4850 100TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-7212
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Country | US
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Telephone | 515-224-1414
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Fax | 515-224-5140
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Provider Business Mailing Address
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Address Line | 4850 100TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-7212
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Country | US
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Telephone | 515-224-1414
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Fax | 515-224-5140
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD-54603
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | TP207
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | R-11549
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License Number State | IA
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