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NPI 1306328869

NPI 1306328869 : NORTH HALL PEDIATRICS PC : GAINESVILLE, GA

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General NPI Number Information
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    NPI Number           |    1306328869
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTH HALL PEDIATRICS PC 
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Dates
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    Enumeration Date     |    08/31/2018
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    Last Update Date     |    08/31/2018
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Provider Practice Location Address
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    Address Line         |    2049 BEVERLY RD 
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    City                 |    GAINESVILLE
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    State                |    GA
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    Zip                  |    30501-2034
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    Country              |    US
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    Telephone            |    770-287-1788
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    Fax                  |    770-287-7020
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Provider Business Mailing Address
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    Address Line         |    2049 BEVERLY RD 
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    City                 |    GAINESVILLE
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    State                |    GA
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    Zip                  |    30501-2034
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    Country              |    US
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    Telephone            |    770-287-1788
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    Fax                  |    770-287-7020
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    DR. JAMES TERRY BELL 
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    Credential           |    MD
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    Telephone            |    770-287-1788
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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       |    28721
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    License Number State |    GA
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