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General NPI Number Information
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NPI Number | 1619017019
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Entity Type | Individual
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Provider Name | ROGER PAUL HALE L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 500 N CENTRAL EXPY 262
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City | PLANO
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State | TX
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Zip | 75074-6772
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Country | US
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Telephone | 972-881-8383
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Fax | 972-423-7210
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Provider Business Mailing Address
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Address Line | 904 VIA DEL REY ROGER P. HALE
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City | MESQUITE
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State | TX
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Zip | 75150-3026
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Country | US
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Telephone | 972-768-2772
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Fax | 972-423-7210
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 17903
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17903
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | CERTIFICATE
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License Number State | TX
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