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General NPI Number Information
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NPI Number | 1235343070
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Entity Type | Individual
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Provider Name | PATRICK B. HALL D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 5131 ODONOVAN DR STE 201
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City | BATON ROUGE
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State | LA
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Zip | 70808-4792
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Country | US
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Telephone | 225-757-2017
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Fax | 225-768-2440
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Provider Business Mailing Address
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Address Line | PO BOX 82273
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City | BATON ROUGE
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State | LA
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Zip | 70884-2273
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Country | US
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Telephone | 225-757-2017
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Fax | 225-768-2440
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD001054
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DPM200013
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License Number State | LA
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