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General NPI Number Information
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NPI Number | 1104937705
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Entity Type | Organization
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Legal Business Name | TERRY HALL ENTERPRISES, INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 8036 OHIO RIVER RD
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City | WHEELERSBURG
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State | OH
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Zip | 45694-1621
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Country | US
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Telephone | 740-574-0202
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Fax | 740-574-0113
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Provider Business Mailing Address
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Address Line | PO BOX 178
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City | WHEELERSBURG
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State | OH
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Zip | 45694-0178
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Country | US
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Telephone | 740-574-0202
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Fax | 740-574-0113
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ROLAND TERRY HALL
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Credential |
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Telephone | 740-574-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | OH
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