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General NPI Number Information
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NPI Number | 1992969711
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Entity Type | Individual
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Provider Name | MICHAEL VAN METER MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 6411 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-7430
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Fax |
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Provider Business Mailing Address
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Address Line | 6431 FANNIN JJL 270
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City | HOUSTON
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State | TX
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Zip | 77030-2931
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Country | US
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Telephone | 713-500-7430
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Fax |
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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 | 251621
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N6078
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License Number State | TX
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