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General NPI Number Information
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NPI Number | 1487617056
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Entity Type | Individual
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Provider Name | SUE L. HALL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 1500 SW 10TH AVE
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City | TOPEKA
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State | KS
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Zip | 66604-1301
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Country | US
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Telephone | 785-354-6850
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Fax | 785-354-5228
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Provider Business Mailing Address
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Address Line | 3661 AVONDALE LN
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City | OXNARD
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State | CA
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Zip | 93036-6342
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Country | US
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Telephone | 785-249-9442
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | G65738
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 04-21556
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License Number State | KS
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