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General NPI Number Information
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NPI Number | 1538158928
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Entity Type | Individual
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Provider Name | DAHLIA HALL M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 75 E NORTHFIELD RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4532
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Country | US
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Telephone | 973-436-1540
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Fax | 973-533-0197
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Provider Business Mailing Address
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Address Line | 241B MILLBURN AVENUE SUITE B
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City | MILLBURN
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State | NJ
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Zip | 07041-1739
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Country | US
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Telephone | 973-376-9000
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Fax | 973-376-7610
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MA72666
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License Number State | NJ
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