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General NPI Number Information
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NPI Number | 1275065823
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Entity Type | Individual
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Provider Name | GEOFFREY HALL D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 4709 CREEKSTONE DR STE 100
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City | DURHAM
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State | NC
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Zip | 27703-0016
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Country | US
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Telephone | 919-862-5782
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Fax |
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Provider Business Mailing Address
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Address Line | 616 CANAL ST
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City | DURHAM
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State | NC
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Zip | 27701-2504
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Country | US
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Telephone | 860-307-6192
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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 | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 2021-00784
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License Number State | NC
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