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General NPI Number Information
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NPI Number | 1508869801
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Entity Type | Individual
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Provider Name | PEYTON R HALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 417 MCMILLAN RD
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City | WEST MONROE
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State | LA
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Zip | 71291-5325
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Country | US
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Telephone | 318-322-7119
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Fax | 318-325-8475
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Provider Business Mailing Address
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Address Line | 312 GRAMMONT ST SUITE 300
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City | MONROE
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State | LA
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Zip | 71201-7457
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Country | US
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Telephone | 318-388-4030
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Fax | 318-324-3334
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 012274
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License Number State | LA
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