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NPI 1730887191

NPI 1730887191 : BRANDI F HALL DMD : SPRINGFIELD, OH

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General NPI Number Information
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    NPI Number           |    1730887191
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    Entity Type          |    Individual 
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    Provider Name        |    BRANDI F HALL DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/15/2023
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    Last Update Date     |    07/24/2025
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Provider Practice Location Address
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    Address Line         |    651 S LIMESTONE ST 
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    City                 |    SPRINGFIELD
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    State                |    OH
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    Zip                  |    45505-1965
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    Country              |    US
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    Telephone            |    937-328-7262
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    Fax                  |    937-525-4542
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Provider Business Mailing Address
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    Address Line         |    651 S LIMESTONE ST 
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    City                 |    SPRINGFIELD
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    State                |    OH
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    Zip                  |    45505-1965
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    Country              |    US
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    Telephone            |    937-324-1111
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    Fax                  |    937-525-4541
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    30.027398
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    30.027398
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    License Number State |    OH
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