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General NPI Number Information
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NPI Number | 1497170419
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Entity Type | Individual
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Provider Name | DAVID ANDREW HALL PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 172 HERITAGE STE K
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City | BROUSSARD
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State | LA
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Zip | 70518-8046
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Country | US
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Telephone | 337-214-1244
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Fax | 866-825-4104
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Provider Business Mailing Address
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Address Line | 1019 KALISTE SALOOM RD APT 1313
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City | LAFAYETTE
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State | LA
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Zip | 70508-4956
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Country | US
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Telephone | 228-238-8503
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Fax | 866-825-4104
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10633R
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License Number State | LA
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