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NPI Code Detail

MEDICARE: WILLIAM JAMES HALL III MSW, LCSWA

MEDICARE:   WILLIAM JAMES HALL III MSW, LCSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP007740NC

General Provider Information

NPI Number : 1265872451
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JAMES HALL III MSW, LCSWA
Provider Business Mailing Address
First Line : 828 GLENDALE AVE
Second Line :
City : DURHAM
State : NC
Zip : 27701-2221
Country : US
Telephone Number : 919-360-5880
Fax Number :
Provider Business Practice Location Address
First Line : 828 GLENDALE AVE
Second Line :
City : DURHAM
State : NC
Zip : 27701-2221
Country : US
Telephone Number : 919-360-5880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2013
Last Update Date : 07/02/2013

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Directions to “ WILLIAM JAMES HALL III MSW, LCSWA” Practice Location

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