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General NPI Number Information
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NPI Number | 1912078411
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Entity Type | Individual
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Provider Name | BERNARD LIANG HALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 441 N LAKEVIEW AVE KAISER PERMANENTE LAKEVIEW
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City | ANAHEIM
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State | CA
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Zip | 92807-3028
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Country | US
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Telephone | 714-279-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 2852 SAWTELLE BLVD APT 18
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City | LOS ANGELES
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State | CA
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Zip | 90064-3752
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Country | US
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Telephone | 714-387-4069
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A78128
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License Number State | CA
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