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General NPI Number Information
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NPI Number | 1215306246
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Entity Type | Organization
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Legal Business Name | A HALL ENTERPRISES, LLC
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 9695 S YOSEMITE ST STE 373
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City | LONE TREE
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State | CO
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Zip | 80124-2888
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Country | US
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Telephone | 303-257-4966
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Fax |
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Provider Business Mailing Address
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Address Line | 891 14TH ST UNIT 3307
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City | DENVER
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State | CO
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Zip | 80202-3279
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Country | US
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Telephone | 713-443-3773
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW ROBERT HALL
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Credential | M.D.
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Telephone | 713-443-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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