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General NPI Number Information
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NPI Number | 1134023997
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Entity Type | Organization
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Legal Business Name | NORTHLINE NEUROLOGY PLLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 1400 N COIT RD
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City | MCKINNEY
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State | TX
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Zip | 75071-6655
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Country | US
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Telephone | 469-281-5478
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Fax | 469-936-7461
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Provider Business Mailing Address
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Address Line | 1400 N COIT RD
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City | MCKINNEY
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State | TX
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Zip | 75071-6655
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Country | US
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Telephone | 469-281-5478
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Fax | 469-936-7461
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Authorized Official
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Title or Position | CO-OWNER
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Name | ALI EBRAHIM
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Credential | MD
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Telephone | 313-949-5894
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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 | NULL
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