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General NPI Number Information
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NPI Number | 1124007778
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Entity Type | Organization
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Legal Business Name | METROLINA NEUROLOGICAL ASSOCIATES, P A
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 1665 HERLONG COURT SUITE B
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City | ROCK HILL
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State | SC
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Zip | 29732
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Country | US
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Telephone | 803-980-7930
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Fax | 803-366-6155
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Provider Business Mailing Address
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Address Line | 1665 HERLONG COURT SUITE B
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City | ROCK HILL
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State | SC
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Zip | 29732
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Country | US
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Telephone | 803-980-7930
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Fax | 803-366-6155
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. HOWARD MANDELL
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Credential | M.D.
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Telephone | 803-980-7948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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