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General NPI Number Information
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NPI Number | 1770913378
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Entity Type | Organization
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Legal Business Name | GEORGE D. HALL, MD
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 3111 SPRINGBANK LN SUITE G
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City | CHARLOTTE
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State | NC
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Zip | 28226-3372
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Country | US
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Telephone | 704-540-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 SPRINGBANK LN SUITE G
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City | CHARLOTTE
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State | NC
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Zip | 28226-3372
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE HALL
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Credential |
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Telephone | 704-540-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38350
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License Number State | NC
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