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Individual
SCOTT L HALL
Active
Individual
SCOTT L HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1212938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010022103
REGENCE
ID
05
—
004401100
—
ID
01
—
650019831
RAILROAD MEDICARE
ID
01
—
T6319
BLUE CROSS
ID
Enumeration date
06/15/2006
Last updated
01/10/2013
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