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General NPI Number Information
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NPI Number | 1104406750
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROLOGICAL CARE PA
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 18975 COLLINS AVE
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City | SUNNY ISL BCH
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State | FL
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Zip | 33160-2300
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Country | US
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Telephone | 347-634-9425
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Fax |
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Provider Business Mailing Address
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Address Line | 18975 COLLINS AVE UNIT 1602
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2357
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Country | US
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Telephone | 347-634-9425
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Fax | 212-962-2050
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Authorized Official
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Title or Position | MANAGER
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Name | JULIA OSTROVSKY
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Credential |
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Telephone | 347-634-9425
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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 |
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License Number State |
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