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General NPI Number Information
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NPI Number | 1588121941
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Entity Type | Organization
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Legal Business Name | ANDREW HALL MD PLLC
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6064 S FORT APACHE RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-5350
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Country | US
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Telephone | 702-940-8007
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Fax | 702-832-1940
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Provider Business Mailing Address
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Address Line | 6064 S FORT APACHE RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-5350
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Country | US
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Telephone | 702-940-8007
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Fax | 702-832-1940
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PETE BEKAS
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Credential |
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Telephone | 702-832-1940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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