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General NPI Number Information
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NPI Number | 1710158589
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Entity Type | Organization
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Legal Business Name | HALL'S PHARMACY
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 708 PENNSYLVANIA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-2221
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Country | US
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Telephone | 817-877-3677
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Fax | 817-877-9981
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Provider Business Mailing Address
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Address Line | 708 PENNSYLVANIA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-2221
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Country | US
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Telephone | 817-877-3677
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Fax | 817-877-9981
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Authorized Official
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Title or Position | OFFICE-MGR
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Name | MRS. FRANCES O GARCIA
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Credential |
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Telephone | 817-877-3677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 10169
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License Number State | TX
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