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General NPI Number Information
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NPI Number | 1972528974
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Entity Type | Individual
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Provider Name | MICHAEL D. NEAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 7502 COUNTY ROAD 410
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City | MERTZON
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State | TX
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Zip | 76941
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Country | US
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Telephone | 325-835-7062
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Fax | 325-835-2414
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Provider Business Mailing Address
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Address Line | PO BOX 442 7502 COUNTY ROAD 410
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City | MERTZON
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State | TX
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Zip | 76941
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Country | US
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Telephone | 325-835-7062
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Fax | 325-835-2414
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | H0674
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | H0674
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License Number State | TX
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