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General NPI Number Information
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NPI Number | 1902885494
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Entity Type | Individual
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Provider Name | REGINALD VINSON HALL MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 03/07/2018
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Provider Practice Location Address
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Address Line | 1400 NORTHSIDE FORSYTH DR STE 250
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City | CUMMING
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State | GA
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Zip | 30041-7701
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Country | US
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Telephone | 770-889-7118
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Fax | 770-844-7835
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Provider Business Mailing Address
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Address Line | 35 COLLIER RD NW SUITE 635
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City | ATLANTA
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State | GA
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Zip | 30309-1613
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Country | US
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Telephone | 404-367-3014
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Fax | 404-367-3558
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 050478
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License Number State | GA
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