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General NPI Number Information
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NPI Number | 1063617264
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Entity Type | Organization
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Legal Business Name | DALE G. HALTER, M.D.
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 902 FROSTWOOD DR SUITE 208
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City | HOUSTON
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State | TX
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Zip | 77024-2420
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Country | US
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Telephone | 713-266-1946
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Fax | 713-467-7432
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Provider Business Mailing Address
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Address Line | 902 FROSTWOOD DR SUITE 208
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City | HOUSTON
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State | TX
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Zip | 77024-2420
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Country | US
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Telephone | 713-266-1946
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Fax | 713-467-7432
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DALE G. HALTER
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Credential | M.D.
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Telephone | 713-266-1946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | G1029
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License Number State | TX
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