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General NPI Number Information
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NPI Number | 1932375813
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Entity Type | Organization
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Legal Business Name | RICHARD A. HALL, D.O., PLC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 4674 HILL ST
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City | CASS CITY
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State | MI
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Zip | 48726-1009
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Country | US
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Telephone | 989-872-4725
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Fax |
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Provider Business Mailing Address
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Address Line | 4674 HILL ST
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City | CASS CITY
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State | MI
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Zip | 48726-1009
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Country | US
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Telephone | 989-872-4725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD A HALL
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Credential | DO
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Telephone | 989-872-4725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101007053
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License Number State | MI
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