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General NPI Number Information
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NPI Number | 1780009423
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Entity Type | Organization
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Legal Business Name | MICHAEL D HALLDPMPA
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 2901 CORAL HILLS DR STE 330
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4165
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Country | US
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Telephone | 954-341-4306
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Fax | 954-340-4431
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Provider Business Mailing Address
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Address Line | 2901 CORAL HILLS DR STE 330
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4165
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Country | US
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Telephone | 954-341-4306
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Fax | 954-340-4431
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL D HALL
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Credential | DPMPA
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Telephone | 954-341-4306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO 1300
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License Number State | FL
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