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General NPI Number Information
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NPI Number | 1861431371
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Entity Type | Individual
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Provider Name | ANDREW F HALL MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 350 S BROOKS ST
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City | SHERIDAN
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State | WY
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Zip | 82801-0000
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Country | US
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Telephone | 307-674-4449
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Fax | 307-674-6665
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Provider Business Mailing Address
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Address Line | 350 S BROOKS ST
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City | SHERIDAN
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State | WY
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Zip | 82801-0000
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Country | US
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Telephone | 307-674-4449
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Fax | 307-674-6665
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 5984A
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License Number State | WY
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