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General NPI Number Information
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NPI Number | 1295871515
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Entity Type | Individual
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Provider Name | DR. DONALD FREDERICK HULL
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4100 MONTGOMERY DR STE B
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City | SANTA ROSA
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State | CA
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Zip | 95405-5283
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Country | US
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Telephone | 707-537-2020
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Fax | 707-537-2025
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Provider Business Mailing Address
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Address Line | 25445 ADOBE LN
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-4502
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Country | US
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Telephone | 707-537-2020
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Fax | 714-571-3560
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 19750
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License Number State | CA
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