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General NPI Number Information
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NPI Number | 1326466830
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Entity Type | Individual
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Provider Name | ERIC HALL D.O
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Gender | Male
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2001 W 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1902
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Country | US
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Telephone | 317-415-7921
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Fax | 317-415-7922
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Provider Business Mailing Address
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Address Line | 1905 BLAKE AVE STE 201
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4286
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Country | US
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Telephone | 970-947-9999
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Fax | 970-947-9226
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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 | 02005996A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 390200000
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0058274
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License Number State | CO
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