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General NPI Number Information
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NPI Number | 1619966371
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Entity Type | Individual
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Provider Name | ERIC E HALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 2006 MOORES LN
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City | TEXARKANA
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State | TX
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Zip | 75503-1840
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Country | US
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Telephone | 903-792-6944
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Fax | 903-792-6213
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Provider Business Mailing Address
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Address Line | 919 HIDDEN RDG
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City | IRVING
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State | TX
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Zip | 75038-3813
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Country | US
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Telephone | 469-282-2711
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Fax | 469-282-0996
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | F1615
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License Number State | TX
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