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General NPI Number Information
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NPI Number | 1134898299
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Entity Type | Organization
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Legal Business Name | HAYWOOD HALL M.D., P.C.
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 445 S FIGUEROA ST STE 3100
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City | LOS ANGELES
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State | CA
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Zip | 90071-1635
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Country | US
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Telephone | 505-239-0143
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Fax |
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Provider Business Mailing Address
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Address Line | 622 BANYAN TRL STE 614
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City | BOCA RATON
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State | FL
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Zip | 33431-5614
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Country | US
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Telephone | 505-239-0143
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAYWOOD HALL
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Credential | MD
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Telephone | 505-239-0143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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