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General NPI Number Information
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NPI Number | 1760485890
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Entity Type | Individual
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Provider Name | GREGORY A HALE MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 601 5TH ST S 3RD FLOOR
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-4176
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Fax | 727-767-4379
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Provider Business Mailing Address
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Address Line | 601 5TH ST S 3RD FLOOR
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-4176
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Fax | 727-767-4379
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | ME103101
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License Number State | FL
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