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General NPI Number Information
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NPI Number | 1972035921
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Entity Type | Individual
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Provider Name | JAIMEE MARIE HALL DO, MA
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Gender | Female
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 4090 BRIARGATE PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7815
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Country | US
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Telephone | 720-777-6981
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 69760-21
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2020014927
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | DR.0071113
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License Number State | CO
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