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General NPI Number Information
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NPI Number | 1285923573
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Entity Type | Individual
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Provider Name | JEFFREY HALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 101 EISENHOWER PKWY STE 300
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City | ROSELAND
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State | NJ
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Zip | 07068
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Country | US
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Telephone | 973-795-1260
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Fax | 973-795-1259
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Provider Business Mailing Address
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Address Line | 101 EISENHOWER PKWY STE 300
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City | ROSELAND
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State | NJ
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Zip | 07068-1054
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Country | US
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Telephone | 973-795-1260
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Fax | 973-795-1259
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 63726
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA10368600
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License Number State | NJ
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