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General NPI Number Information
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NPI Number | 1922151554
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Entity Type | Individual
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Provider Name | JEFFREY E HALL PSY.D
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 555 NORTHGATE DR FAMILY SERVICE AGENCY
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3680
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Country | US
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Telephone | 415-491-5700
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Fax | 415-491-5750
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Provider Business Mailing Address
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Address Line | 1122 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-2115
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Country | US
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Telephone | 415-203-6950
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Fax | 888-384-0984
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20967
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License Number State | CA
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