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General NPI Number Information
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NPI Number | 1144193293
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Entity Type | Organization
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Legal Business Name | NATIONAL NEUROBEHAVIORAL ASSOCIATES PC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 969 ELLICOTT ST STE 100
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City | BUFFALO
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State | NY
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Zip | 14209-2324
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Country | US
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Telephone | 508-979-5557
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Fax | 508-979-5955
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Provider Business Mailing Address
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Address Line | 969 ELLICOTT ST STE 100
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City | BUFFALO
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State | NY
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Zip | 14209-2324
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Country | US
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Telephone | 508-979-5557
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Fax | 508-979-5955
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MUHAMMAD KHUBAIB IQBAL
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Credential |
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Telephone | 617-362-5447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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