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General NPI Number Information
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NPI Number | 1932892569
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Entity Type | Organization
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Legal Business Name | BRADLEY R HALL MD INC
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 1401 S BERETANIA ST STE 420
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City | HONOLULU
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State | HI
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Zip | 96814-1871
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Country | US
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Telephone | 808-528-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 4348 WAIALAE AVE # 344
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City | HONOLULU
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State | HI
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Zip | 96816-5767
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Country | US
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Telephone | 808-536-0300
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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. BRADLEY R HALL
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Credential | MD
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Telephone | 808-225-3590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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