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General NPI Number Information
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NPI Number | 1871954164
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Entity Type | Organization
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Legal Business Name | JAMES P. HALL D.O. A MEDICAL CORP
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 5816 CORPORATE AVE SUITE 170
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City | CYPRESS
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State | CA
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Zip | 90630-4731
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Country | US
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Telephone | 714-527-7886
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Fax |
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Provider Business Mailing Address
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Address Line | 5816 CORPORATE AVE SUITE 170
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City | CYPRESS
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State | CA
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Zip | 90630-4731
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Country | US
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Telephone | 714-527-7886
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMES P HALLO
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Credential | DO
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Telephone | 714-527-7886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A7886
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License Number State | CA
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