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General NPI Number Information
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NPI Number | 1558926725
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Entity Type | Individual
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Provider Name | JULIE HALL MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 345 CYPRESS CREEK RD STE 104
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City | CEDAR PARK
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State | TX
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Zip | 78613-4484
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Country | US
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Telephone | 512-336-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 MUELLER BLVD STE 3S.066C
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City | AUSTIN
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State | TX
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Zip | 78723-3079
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Country | US
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Telephone | 512-324-0165
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Fax |
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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 | BP10066855
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | T6250
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License Number State | TX
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