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General NPI Number Information
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NPI Number | 1356516561
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Entity Type | Organization
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Legal Business Name | WILLIAM J HALL DDS PA
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 1090 WEST PATRICK ST SUITE B
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City | FREDERICK
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State | MD
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Zip | 21703-3967
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Country | US
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Telephone | 301-662-6247
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Fax | 301-662-4146
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Provider Business Mailing Address
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Address Line | 1090 WEST PATRICK ST SUITE B
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City | FREDERICK
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State | MD
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Zip | 21703-3967
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Country | US
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Telephone | 301-662-6247
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Fax | 301-662-4146
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM JOHN HALL
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Credential | DDS
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Telephone | 301-662-6247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11438
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License Number State | MD
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