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General NPI Number Information
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NPI Number | 1831581578
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Entity Type | Organization
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Legal Business Name | HALL AND ASSOCIATES
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 7221 E RIDGE DR
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City | LANDOVER
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State | MD
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Zip | 20785-5247
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Country | US
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Telephone | 301-386-3533
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Fax | 301-386-2826
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Provider Business Mailing Address
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Address Line | 7221 E RIDGE DR
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City | LANDOVER
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State | MD
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Zip | 20785-5247
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Country | US
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Telephone | 301-386-3533
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Fax | 301-386-2826
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BERT SINKLER HALL III
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Credential | DDS
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Telephone | 301-386-3533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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