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General NPI Number Information
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NPI Number | 1043285273
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Entity Type | Organization
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Legal Business Name | UNIVERSITY NEUROSURGICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 545 BARNHILL DR SUITE #139
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5112
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Country | US
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Telephone | 317-274-8422
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Fax |
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Provider Business Mailing Address
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Address Line | 545 BARNHILL DR SUITE #139
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5112
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Country | US
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Telephone | 317-274-8422
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL B. NELSON
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Credential | M.D.
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Telephone | 317-274-8422
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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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