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General NPI Number Information
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NPI Number | 1861453631
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Entity Type | Individual
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Provider Name | MICHAEL A. ONEAL D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 3801 SCOTT AND WHITE DR
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City | KILLEEN
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State | TX
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Zip | 76543-5252
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Country | US
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Telephone | 254-680-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 RXR PLZ
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City | UNIONDALE
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State | NY
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Zip | 11556-1301
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Country | US
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Telephone | 516-783-4600
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Fax | 646-846-3283
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 280646
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License Number State | NY
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