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General NPI Number Information
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NPI Number | 1699188334
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Entity Type | Individual
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Provider Name | JONATHAN HALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 709 N JUSTICE ST SUITE B
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3454
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Country | US
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Telephone | 828-696-1255
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Fax |
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Provider Business Mailing Address
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Address Line | 709 N JUSTICE ST SUITE B
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3454
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Country | US
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Telephone | 828-696-1255
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201026
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 72218
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 92771
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 2016-02067
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License Number State | NC
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