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General NPI Number Information
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NPI Number | 1750322749
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Entity Type | Individual
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Provider Name | ROD HALL DO
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 35911 KENAI SPUR HWY STE 6
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City | SOLDOTNA
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State | AK
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Zip | 99669-7155
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Country | US
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Telephone | 907-260-7729
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Fax | 907-260-7783
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Provider Business Mailing Address
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Address Line | 35911 KENAI SPUR HWY STE 6
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City | SOLDOTNA
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State | AK
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Zip | 99669-7155
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Country | US
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Telephone | 907-260-7729
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Fax | 907-260-7783
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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 | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 4349
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 4349
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 4349
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 4349
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License Number State | AK
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Taxonomy #5
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 4349
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License Number State | AK
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4349
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License Number State | AK
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4349
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License Number State | AK
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