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General NPI Number Information
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NPI Number | 1265614432
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Entity Type | Organization
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Legal Business Name | RANDALL L. HALL, M.D., P.C.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 405 N SECTION ST
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City | FAIRHOPE
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State | AL
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Zip | 36532-2613
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Country | US
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Telephone | 251-990-8860
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Fax | 251-990-3401
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Provider Business Mailing Address
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Address Line | 405 N SECTION ST
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City | FAIRHOPE
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State | AL
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Zip | 36532-2613
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Country | US
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Telephone | 251-990-8860
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Fax | 251-990-3401
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Authorized Official
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Title or Position | OWNER
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Name | LYNN E. YONGE
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Credential | MD
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Telephone | 251-990-8860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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