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General NPI Number Information
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NPI Number | 1487632576
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Entity Type | Individual
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Provider Name | TRUDY RUTH HALL M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 2000 W BALTIMORE ST
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City | BALTIMORE
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State | MD
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Zip | 21223-1558
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Country | US
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Telephone | 410-362-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 9333 CREEKVIEW DR
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City | LAUREL
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State | MD
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Zip | 20708-3219
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Country | US
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Telephone | 301-604-8798
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D0047483
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License Number State | MD
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