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General NPI Number Information
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NPI Number | 1093853913
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Entity Type | Individual
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Provider Name | PHILIP M HALL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 433 W CENTRAL AVE HALL FAMILY PHARMACY
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City | JAMESTOWN
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State | TN
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Zip | 38556-3004
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Country | US
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Telephone | 931-879-9997
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Fax | 931-879-9995
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Provider Business Mailing Address
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Address Line | PO BOX 420
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City | JAMESTOWN
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State | TN
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Zip | 38556-0420
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Country | US
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Telephone | 931-879-9997
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Fax | 931-879-9995
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21874
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 00005328
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 00005328
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 00005328
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 00005328
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 00005328
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License Number State | TN
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