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General NPI Number Information
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NPI Number | 1861425290
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Entity Type | Organization
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Legal Business Name | GEORGE D HALL, MD
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 3111 SPRINGBANK LN SUITE I
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City | CHARLOTTE
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State | NC
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Zip | 28226-3372
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Country | US
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Telephone | 704-540-2799
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Fax | 704-847-6858
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Provider Business Mailing Address
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Address Line | 2415 SANDY PORTER RD
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City | CHARLOTTE
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State | NC
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Zip | 28273-3695
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Country | US
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Telephone | 704-540-2799
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Fax | 704-583-0430
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | GEORGE D HALL
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Credential | M.D.
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Telephone | 704-540-2799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 38350
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License Number State | NC
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