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General NPI Number Information
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NPI Number | 1871039461
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Entity Type | Organization
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Legal Business Name | ERIC J. HALL, JR., DDS, P.A.
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 2318 SAN JACINTO BLVD STE 104
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City | DENTON
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State | TX
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Zip | 76205-7535
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Country | US
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Telephone | 940-891-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 2318 SAN JACINTO BLVD STE 104
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City | DENTON
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State | TX
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Zip | 76205-7535
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Country | US
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Telephone | 940-891-0300
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | ERIC J HALL JR.
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Credential | DDS
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Telephone | 940-891-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | TX
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