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General NPI Number Information
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NPI Number | 1073629119
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL SPECIALISTS PSC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1237 WOODLAWN DRIVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-769-6875
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Fax | 270-737-9696
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Provider Business Mailing Address
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Address Line | PO BOX 2607 1237 WOODLAWN DRIVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-769-6875
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Fax | 270-737-9696
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | LOVEGILDO S GARCIA JR.
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Credential | MD
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Telephone | 270-769-6875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 17498
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License Number State | KY
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Taxonomy #2
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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 | 20007
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License Number State | KY
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