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General NPI Number Information
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NPI Number | 1649543620
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE HALL DC
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Gender | Female
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 2901 JUAN TABO BLVD NE STE 121A
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-0003
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Country | US
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Telephone | 505-715-8820
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91123
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City | ALBUQUERQUE
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State | NM
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Zip | 87199-1123
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Country | US
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Telephone | 505-715-8820
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1936
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License Number State | NM
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