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1730358334 NPI number — THOMAS KENT HALL MDPC

NPI Number: 1730358334
Health Care Provider/Practitioner: THOMAS KENT HALL MDPC

Information about “1730358334” NPI (THOMAS KENT HALL MDPC) exists in 1730358334 in HTML format HTML  |  1730358334 in plain Text format TXT  |  1730358334 in PDF (Portable Document Format) PDF  |  1730358334 in an XML format XML  formats.

NPI Number : 1730358334 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730358334",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THOMAS KENT HALL MDPC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 4527",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ONEIDA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37841-4527",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-569-8575",
    "MailingAddressFaxNumber": "423-569-5880",
    "FirstLinePracticeLocationAddress": "19295 ALBERTA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ONEIDA",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37841-6064",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-569-8575",
    "PracticeLocationAddressFaxNumber": "423-569-5880",
    "EnumerationDate": "02/27/2008",
    "LastUpdateDate": "04/20/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HALL",
    "AuthorizedOfficialFirstName": "THOMAS",
    "AuthorizedOfficialMiddleName": "KENT",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "423-569-8575",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "MD0000009040",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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