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General NPI Number Information
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NPI Number | 1851619852
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Entity Type | Organization
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Legal Business Name | CHRISTINA M HALL PSYD PC
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 1350 SPRING ST NW SUITE 225
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City | ATLANTA
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State | GA
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Zip | 30309-2864
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Country | US
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Telephone | 678-612-3418
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 SPRING ST NW SUITE 225
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City | ATLANTA
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State | GA
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Zip | 30309-2864
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYD
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Name | CHRISTINA M HALL
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Credential |
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Telephone | 770-971-9311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY003122
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License Number State | GA
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