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General NPI Number Information
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NPI Number | 1184773251
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Entity Type | Individual
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Provider Name | MARK ADAM HALL P.T., OMT, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 82 PALOMINO LN STE 501
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City | BEDFORD
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State | NH
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Zip | 03110-6448
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Country | US
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Telephone | 603-627-6381
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Fax |
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Provider Business Mailing Address
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Address Line | 82 PALOMINO LN STE 501
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City | BEDFORD
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State | NH
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Zip | 03110-6448
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Country | US
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Telephone | 603-627-6381
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Fax | 603-627-6021
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2116
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License Number State | NH
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