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General NPI Number Information
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NPI Number | 1477675726
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Entity Type | Individual
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Provider Name | JOSHUA E HALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 650 ADDISON AVE W
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City | TWIN FALLS
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State | ID
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Zip | 83301-5444
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Country | US
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Telephone | 208-737-2192
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Fax |
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Provider Business Mailing Address
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Address Line | 834 FALLS AVE SUITE 1020-D
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City | TWIN FALLS
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State | ID
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Zip | 83301-3365
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Country | US
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Telephone | 208-734-6400
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 5412478-1205
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License Number State | UT
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