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General NPI Number Information
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NPI Number | 1477670107
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Entity Type | Organization
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Legal Business Name | MARK K HALL DDS PA
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5707 SW 16TH ST
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City | TOPEKA
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State | KS
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Zip | 66604-2264
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Country | US
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Telephone | 785-273-1544
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Fax | 785-273-3524
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Provider Business Mailing Address
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Address Line | 5707 SW 16TH ST
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City | TOPEKA
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State | KS
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Zip | 66604-2264
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Country | US
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Telephone | 785-273-1544
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Fax | 785-273-3524
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK K HALL
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Credential | D D S
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Telephone | 785-273-1544
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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 | 7056
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License Number State | KS
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