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General NPI Number Information
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NPI Number | 1285235358
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Entity Type | Organization
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Legal Business Name | HALL FAMILY EYECARE LLC
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 2107 S SENECA ST
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City | WICHITA
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State | KS
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Zip | 67213-4222
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Country | US
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Telephone | 316-264-7300
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Fax | 316-264-3237
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Provider Business Mailing Address
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Address Line | 2107 S SENECA ST
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City | WICHITA
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State | KS
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Zip | 67213-4222
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Country | US
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Telephone | 316-264-7300
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Fax | 316-264-3237
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Authorized Official
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Title or Position | OD/PRESIDENT
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Name | DR. ARRAYA PAKSIN-HALL
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Credential | OD
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Telephone | 316-208-7856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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