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General NPI Number Information
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NPI Number | 1063495000
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Entity Type | Organization
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Legal Business Name | NEUROSURGERY AND ENDOVASCULAR ASSOCIATES SC.
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 10500 W LOOMIS RD STE 130
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City | FRANKLIN
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State | WI
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Zip | 53132-8030
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Country | US
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Telephone | 414-385-8700
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Fax | 414-385-2799
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Provider Business Mailing Address
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Address Line | PO BOX 211037
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City | MILWAUKEE
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State | WI
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Zip | 53221-1037
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Country | US
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Telephone | 414-385-8706
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Fax | 414-385-8777
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Authorized Official
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Title or Position | NEUROSURGEON
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Name | MR. ARVIND AHUJA
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Credential | M.D
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Telephone | 414-488-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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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 | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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