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General NPI Number Information
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NPI Number | 1033284005
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Entity Type | Organization
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Legal Business Name | RIVER CITIES NEUROLOGY, P.S.C
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 700 ST CHRISTOPHER DR MED BLDG 3 STE 102
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City | ASHLAND
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State | KY
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Zip | 41101
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Country | US
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Telephone | 606-833-0876
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Fax | 606-833-0916
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Provider Business Mailing Address
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Address Line | 378 DIEDERICH BLVD PMB #270
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City | ASHLAND
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State | KY
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Zip | 41101
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Country | US
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Telephone | 606-833-0876
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Fax | 606-833-0916
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PRAMIT BHASIN
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Credential | MD
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Telephone | 606-833-0876
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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 | 37644
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License Number State | KY
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