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General NPI Number Information
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NPI Number | 1013724855
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROLOGY SERVICES, P.A.
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 11110 MEDICAL CAMPUS RD STE 227
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6727
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Country | US
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Telephone | 301-797-1900
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Fax | 866-437-5703
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Provider Business Mailing Address
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Address Line | 196 THOMAS JOHNSON DR STE 120
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City | FREDERICK
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State | MD
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Zip | 21702-4521
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Country | US
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Telephone | 240-566-3130
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Fax | 866-437-5703
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | SHAHID RAFIQ
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Credential | MD
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Telephone | 240-566-3130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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