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General NPI Number Information
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NPI Number | 1255992855
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Entity Type | Individual
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Provider Name | DR. ANDREW HALLMARK
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Gender | Male
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 630-933-4800
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Fax |
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Provider Business Mailing Address
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Address Line | U OF M DEPARTMENT OF ANESTHESIOLOGY 1500 E MEDICAL CTR 1H241 UH
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City | ANN ARBOR
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State | MI
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Zip | 48109-5048
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Country | US
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Telephone | 734-936-4280
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4351044182
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036.164135
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License Number State | IL
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