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General NPI Number Information
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NPI Number | 1013967157
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Entity Type | Organization
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Legal Business Name | NEUROLOGY CLINIC & ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 393 WALLACE RD SUITE 204
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City | NASHVILLE
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State | TN
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Zip | 37211-4880
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Country | US
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Telephone | 615-837-8888
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Fax | 615-837-8887
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Provider Business Mailing Address
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Address Line | 393 WALLACE RD SUITE 204
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City | NASHVILLE
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State | TN
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Zip | 37211-4880
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Country | US
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Telephone | 615-837-8888
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Fax | 615-837-8887
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | DR. DEKA ACHUFUSI EFOBI
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Credential | MD
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Telephone | 615-837-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 40524
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License Number State | TN
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