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General NPI Number Information
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NPI Number | 1033644083
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROLOGY CENTER, PLLC
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 2548 RIDEOUT LN
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City | MURFREESBORO
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State | TN
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Zip | 37128
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Country | US
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Telephone | 615-410-4990
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Fax | 615-410-4250
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Provider Business Mailing Address
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Address Line | 2548 RIDEOUT LN
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City | MURFREESBORO
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State | TN
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Zip | 37128-7686
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Country | US
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Telephone | 615-410-4990
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Fax | 615-410-4250
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Authorized Official
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Title or Position | CEO
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Name | MRS. JULIE SCHNEIDER
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Credential |
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Telephone | 608-217-9776
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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 | 45893
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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