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General NPI Number Information
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NPI Number | 1487787909
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Entity Type | Organization
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Legal Business Name | GERALD R HALE DO PLLC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 2448 E 81ST ST SUITE 363
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City | TULSA
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State | OK
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Zip | 74137-4250
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Country | US
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Telephone | 918-477-5950
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Fax | 918-477-5951
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Provider Business Mailing Address
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Address Line | 2448 E 81ST ST SUITE 363
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City | TULSA
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State | OK
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Zip | 74137-4250
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Country | US
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Telephone | 918-477-5950
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Fax | 918-477-5951
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. GERALD R HALE
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Credential | D.O.
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Telephone | 918-477-5950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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