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General NPI Number Information
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NPI Number | 1285098293
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Entity Type | Individual
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Provider Name | SETH ALLEN HALE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 5657 S HIMALAYA ST STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80015
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Country | US
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Telephone | 303-699-6200
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Fax | 303-766-6903
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Provider Business Mailing Address
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Address Line | 3300 S PARKER RD STE 404
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City | AURORA
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State | CO
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Zip | 80014-3529
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Country | US
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Telephone | 303-699-6200
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Fax | 303-766-6903
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0062769
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License Number State | CO
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