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General NPI Number Information
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NPI Number | 1205809357
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Entity Type | Individual
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Provider Name | TYSON DARWIN HALE MD
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Gender | Male
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 164 INSPIRATION LOOP
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-8409
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Country | US
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Telephone | 830-997-1268
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Fax | 830-997-1382
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Provider Business Mailing Address
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Address Line | PO BOX 293531
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City | KERRVILLE
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State | TX
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Zip | 78029-3531
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Country | US
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Telephone | 830-896-5206
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Fax | 830-896-5211
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD23501
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L2298
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License Number State | TX
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