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General NPI Number Information
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NPI Number | 1881813400
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Entity Type | Organization
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Legal Business Name | JAMES B. HALL, DDS, MS, PA
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 160 PIERCE AVENUE
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City | MACON
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State | GA
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Zip | 31204
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Country | US
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Telephone | 478-743-0901
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Fax | 478-745-8615
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Provider Business Mailing Address
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Address Line | 160 PIERCE AVENUE
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City | MACON
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State | GA
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Zip | 31204
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Country | US
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Telephone | 478-743-0901
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES BENEDICT HALL
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Credential | DDS, MS
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Telephone | 478-743-0901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7573
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License Number State | GA
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