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General NPI Number Information
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NPI Number | 1780801415
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Entity Type | Organization
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Legal Business Name | J.A. HALL, O.D., P.A.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 2901 ALTA MERE DR SUITE 100
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City | FORT WORTH
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State | TX
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Zip | 76116-4100
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Country | US
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Telephone | 817-735-9000
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Fax | 817-735-9074
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Provider Business Mailing Address
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Address Line | 2901 ALTA MERE DR SUITE 100
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City | FORT WORTH
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State | TX
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Zip | 76116-4100
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Country | US
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Telephone | 817-735-9000
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Fax | 817-735-9074
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Authorized Official
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Title or Position | OWNER
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Name | JAMES AARON HALL
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Credential | OD
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Telephone | 817-735-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6587TG
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License Number State | TX
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