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General NPI Number Information
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NPI Number | 1891176517
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Entity Type | Organization
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Legal Business Name | HAL MEDICAL O&P, PC
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 22923 US HIGHWAY 72 STE A
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City | ATHENS
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State | AL
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Zip | 35613-7618
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Country | US
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Telephone | 256-230-2321
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Fax | 256-444-4422
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Provider Business Mailing Address
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Address Line | 2245 COUNTY ROAD 93
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City | ANDERSON
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State | AL
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Zip | 35610-4125
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Country | US
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Telephone | 256-444-4740
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Fax | 256-230-2323
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Authorized Official
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Title or Position | CEO
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Name | MR. JONATHAN RICHARD BERRYHILL
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Credential |
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Telephone | 256-444-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 612
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License Number State | AL
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