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General NPI Number Information
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NPI Number | 1205898194
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Entity Type | Individual
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Provider Name | MARTIN R HALL MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 3330 WEST 177TH ST SUITE 2C
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City | HAZEL CREST
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State | IL
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Zip | 60429
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Country | US
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Telephone | 708-799-1144
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Fax | 708-799-4899
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Provider Business Mailing Address
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Address Line | 3330 WEST 177TH ST SUITE 2C
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City | HAZEL CREST
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State | IL
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Zip | 60429
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Country | US
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Telephone | 708-799-1144
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Fax | 708-799-4899
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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 | 01036580A
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License Number State | IN
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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 |
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License Number State | IL
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