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General NPI Number Information
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NPI Number | 1164544011
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Entity Type | Organization
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Legal Business Name | NEUROLOGY CONSULTANTS INC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 HEALTH PARK BLVD SUITE 5010
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City | ST AUGUSTINE
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State | FL
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Zip | 32086
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Country | US
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Telephone | 904-808-0406
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Fax | 904-808-0504
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Provider Business Mailing Address
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Address Line | PO BOX 860069
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City | ST AUGUSTINE
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State | FL
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Zip | 32086
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Country | US
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Telephone | 904-808-0406
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Fax | 904-808-0504
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VINOD D DESHMUKH
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Credential | MD PHD
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Telephone | 904-808-0406
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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 | ME32674
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License Number State | FL
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