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General NPI Number Information
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NPI Number | 1144300286
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Entity Type | Organization
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Legal Business Name | HIGH COUNTRY NEUROLOGY, PC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 400 SHADOWLINE DR SUITE 202
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City | BOONE
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State | NC
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Zip | 28607-5089
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Country | US
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Telephone | 828-262-0600
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Fax | 828-262-0807
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Provider Business Mailing Address
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Address Line | 400 SHADOWLINE DR SUITE 202
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City | BOONE
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State | NC
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Zip | 28607-5089
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Country | US
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Telephone | 828-262-0600
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Fax | 828-262-0807
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LAURA MILLER CRITTENDEN
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Credential |
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Telephone | 828-262-0600
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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 | 9601279 &9401453
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License Number State | NC
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