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General NPI Number Information
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NPI Number | 1184026312
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Entity Type | Organization
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Legal Business Name | NEUROLOGY PARTNERS, P.A.
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 4085 UNIVERSITY BLVD S SUITE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4357
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Country | US
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Telephone | 904-448-4174
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Fax | 904-448-4177
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Provider Business Mailing Address
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Address Line | 4085 UNIVERSITY BLVD S SUITE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4357
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Country | US
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Telephone | 904-448-4174
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Fax | 904-448-4177
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Authorized Official
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Title or Position | OWNER
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Name | MARK KEVIN EMAS
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Credential | MD
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Telephone | 904-448-4174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | ME67970
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License Number State | FL
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