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General NPI Number Information
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NPI Number | 1922475748
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Entity Type | Organization
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Legal Business Name | HALL INTEGRATIVE HEALTH AND CHIROPRACTIC PC
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 9988 HIBERT ST SUITE 100
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City | SAN DIEGO
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State | CA
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Zip | 92131-2480
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Country | US
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Telephone | 858-461-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 CAMPUS DR SUITE 220
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1929
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Country | US
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Telephone | 949-478-0801
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Fax | 801-729-9218
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Authorized Official
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Title or Position | PRESIDENT
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Name | CANDICE HALL
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Credential | D.C.
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Telephone | 949-903-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 22408
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License Number State | CA
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