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General NPI Number Information
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NPI Number | 1972789170
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Entity Type | Organization
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Legal Business Name | MARK E HALL D P M P A
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 7556 LAKE WORTH RD SUITE 104
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City | LAKE WORTH
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State | FL
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Zip | 33467-2503
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Country | US
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Telephone | 561-966-5060
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Fax | 561-966-4489
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Provider Business Mailing Address
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Address Line | 7556 LAKE WORTH RD SUITE 104
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City | LAKE WORTH
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State | FL
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Zip | 33467-2503
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Country | US
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Telephone | 561-966-5060
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Fax | 561-966-4489
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK E HALL
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Credential | D.P.M.
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Telephone | 561-966-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | P02108
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License Number State | FL
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