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General NPI Number Information
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NPI Number | 1710274147
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Entity Type | Individual
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Provider Name | MICHAEL VAN HAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 5303 HARRY HINES BLVD 6TH FLOOR
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City | DALLAS
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State | TX
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Zip | 75390-8810
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Country | US
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Telephone | 214-645-2225
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Fax | 214-645-8451
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Provider Business Mailing Address
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Address Line | PO BOX 845347
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City | DALLAS
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State | TX
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Zip | 75284-3203
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Country | US
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Telephone | 214-546-0624
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Fax | 214-645-0078
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | Q9068
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 198983
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License Number State | PA
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