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NPI 1215059449

NPI 1215059449 : JAMES N HALL III DO : WOODWARD, OK

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General NPI Number Information
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    NPI Number           |    1215059449
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES N HALL III DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    900 17TH ST ER DEPT
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    City                 |    WOODWARD
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    State                |    OK
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    Zip                  |    73801-2448
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    Country              |    US
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    Telephone            |    580-254-8468
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1631 CRESTVIEW DR 
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    City                 |    CORDELL
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    State                |    OK
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    Zip                  |    73632-1412
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    Country              |    US
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    Telephone            |    580-832-3234
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    Fax                  |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    2951
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2951
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    License Number State |    OK
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