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General NPI Number Information
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NPI Number | 1689995722
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Entity Type | Individual
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Provider Name | BRYAN J HALL DPM
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Gender | Male
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1625 N. CAMPBELL AVE TOWER 4, 4TH FLOOR, ROOM 4402
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City | TUCSON
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State | AZ
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Zip | 85719
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Country | US
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Telephone | 520-626-6670
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Fax | 520-621-4038
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Provider Business Mailing Address
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Address Line | 1501 N CAMPBELL AVE RM 4402
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City | TUCSON
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State | AZ
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Zip | 85724-0001
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Country | US
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Telephone | 520-626-6670
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Fax | 520-626-4038
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.003650
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36.003650
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License Number State | AZ
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