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General NPI Number Information
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NPI Number | 1730298340
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Entity Type | Organization
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Legal Business Name | DAVID D HALL DO PC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 6324 WOODMERE BLVD
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City | MONTGOMERY
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State | AL
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Zip | 36117
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Country | US
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Telephone | 334-272-3889
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Fax | 334-272-4089
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Provider Business Mailing Address
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Address Line | PO BOX 230310
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City | MONTGOMERY
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State | AL
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Zip | 36123-0310
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Country | US
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Telephone | 334-272-3889
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Fax | 334-272-4089
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Authorized Official
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Title or Position | PHYSICIAN PSYCHIATRIST OWNER
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Name | DAVID DEAN HALL
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Credential | DO
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Telephone | 334-272-3889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 283
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License Number State | AL
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