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General NPI Number Information
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NPI Number | 1053101238
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Entity Type | Organization
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Legal Business Name | PRECISION NEUROLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 2 DUDLEY ST STE 2
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City | PROVIDENCE
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State | RI
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Zip | 02905-3236
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Country | US
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Telephone | 781-352-4777
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Fax | 781-352-4778
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Provider Business Mailing Address
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Address Line | 115 NORWOOD PARK S STE 106
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City | NORWOOD
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State | MA
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Zip | 02062-4633
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Country | US
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Telephone | 781-352-4777
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Fax | 781-352-4778
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ANTHONY CARL RODRIGUES
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Credential | MD
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Telephone | 781-352-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 2080P0008X
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Taxonomy Name | Pediatric Neurodevelopmental Disabilities Physician
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License Number |
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Taxonomy #4
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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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