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General NPI Number Information
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NPI Number | 1760583801
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Entity Type | Individual
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Provider Name | HALA M EID MD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 900 CENTENNIAL BLVD BUILDING 2 SUITE 201
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City | VOORHEES
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State | NJ
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Zip | 08043-4637
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Country | US
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Telephone | 856-325-6770
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Fax | 856-673-4510
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE SW200
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City | CAMDEN
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State | NJ
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Zip | 08103-1155
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Country | US
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Telephone | 856-325-6770
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Fax | 856-673-4510
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MA064144
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License Number State | NJ
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