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General NPI Number Information
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NPI Number | 1881582245
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Entity Type | Individual
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Provider Name | ANDREW JOSEPH HALL DPT
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Gender | Male
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 209 US HIGHWAY 117 N STE AB
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City | BURGAW
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State | NC
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Zip | 28425-5256
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Country | US
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Telephone | 910-332-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 9640 N FARM ROAD 239
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City | STRAFFORD
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State | MO
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Zip | 65757-7504
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Country | US
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Telephone | 417-536-6414
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | MO
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