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General NPI Number Information
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NPI Number | 1811955628
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Entity Type | Individual
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Provider Name | TIMOTHY K HALE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 131 ORNAC SUITE 430 KRAMER OB GYN EMERSON HOSPITAL
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City | CONCORD
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State | MA
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Zip | 01742
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Country | US
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Telephone | 978-371-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 131 ORNAC, JCB, SUITE 430
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City | CONCORD
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State | MA
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Zip | 01742-2832
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Country | US
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Telephone | 978-371-0050
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 226317
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License Number State | MA
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