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General NPI Number Information
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NPI Number | 1073323713
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Entity Type | Organization
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Legal Business Name | NEUDAY LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1450 W PLEASANT RUN RD STE 104
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City | LANCASTER
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State | TX
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Zip | 75146-3740
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Country | US
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Telephone | 325-642-0073
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Fax | 682-317-1553
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Provider Business Mailing Address
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Address Line | PO BOX 230
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City | LANCASTER
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State | TX
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Zip | 75146-0230
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Country | US
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Telephone | 325-642-0073
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Fax | 682-317-1553
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | JASON NICHOLAS
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Credential |
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Telephone | 325-642-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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