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General NPI Number Information
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NPI Number | 1710211776
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Entity Type | Organization
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Legal Business Name | DR. CYNTHIA HALL, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E SUITE 809
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-203-0005
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Fax | 310-203-0006
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK E SUITE 809
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-203-0005
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Fax | 310-203-0006
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Authorized Official
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Title or Position | MD
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Name | CYNTHIA HALL
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Credential |
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Telephone | 310-203-0005
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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 | G83721
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License Number State | CA
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