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General NPI Number Information
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NPI Number | 1205985934
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Entity Type | Individual
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Provider Name | ROBERT E MCMICHAEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 1741 E BARDIN RD
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City | ARLINGTON
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State | TX
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Zip | 76018-4836
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Country | US
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Telephone | 817-702-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 E BROAD ST SUITE 504
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City | MANSFIELD
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State | TX
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Zip | 76063-6409
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Country | US
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Telephone | 817-225-0410
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Fax | 817-419-0422
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G4652
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License Number State | TX
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