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General NPI Number Information
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NPI Number | 1730358334
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Entity Type | Organization
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Legal Business Name | THOMAS KENT HALL MDPC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 19295 ALBERTA ST
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City | ONEIDA
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State | TN
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Zip | 37841-6064
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Country | US
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Telephone | 423-569-8575
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Fax | 423-569-5880
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Provider Business Mailing Address
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Address Line | PO BOX 4527
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City | ONEIDA
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State | TN
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Zip | 37841-4527
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Country | US
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Telephone | 423-569-8575
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Fax | 423-569-5880
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS KENT HALL
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Credential | M.D.
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Telephone | 423-569-8575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD0000009040
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License Number State | TN
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