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General NPI Number Information
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NPI Number | 1528171014
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Entity Type | Individual
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Provider Name | CHRISTIAN C HALLORAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 210 WESTWOOD PL STE 110
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City | BRENTWOOD
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State | TN
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Zip | 37027-7554
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Country | US
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Telephone | 615-206-2462
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 DARROW RD SUITE 106
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City | HUDSON
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State | OH
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Zip | 44236-5026
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Country | US
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Telephone | 330-656-5911
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Fax | 330-656-5901
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35-087427
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 63421
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License Number State | AZ
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