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General NPI Number Information
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NPI Number | 1124356746
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROLOGY SERVICES PLLC
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 09/22/2012
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Provider Practice Location Address
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Address Line | 10800 PARKSIDE DR SUITE 203
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City | KNOXVILLE
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State | TN
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Zip | 37934-1922
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Country | US
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Telephone | 865-622-6545
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Fax | 865-622-6492
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Provider Business Mailing Address
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Address Line | 5201 KINGSTON PIKE SUITE 6-360
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City | KNOXVILLE
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State | TN
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Zip | 37919-5026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. DINU NODIT
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Credential | M.D.
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Telephone | 865-622-6545
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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 | 40728
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License Number State | TN
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