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General NPI Number Information
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NPI Number | 1841316742
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Entity Type | Organization
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Legal Business Name | ALEXANDER A HALL JR. D.M.D.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 588 EAGLE ROCK AVE SUITE 4
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3620
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Country | US
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Telephone | 973-674-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 588 EAGLE ROCK AVE SUITE 4
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3620
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Country | US
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Telephone | 973-674-1414
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEXANDER HALL JR.
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Credential | D.M.D.
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Telephone | 973-674-1414
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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 | 14089
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License Number State | NJ
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